Individual
DANA ELZAYAT JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9955 POPLAR TENT RD, CONCORD, NC 28027-9314
(704) 316-1161
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
295705
NC
363L00000X
Nurse Practitioner
Primary
5022935
NC
Other
Enumeration date
06/13/2024
Last updated
11/12/2025
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