Jetavia Wallace
Jetavia Wallace is a Case Manager/Care Coordinator in New Orleans, Louisiana. Works from 2 locations. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4403 Canal StNew Orleans, LA 70119-5946
Phone: (504) 896-2345
Fax: (504) 896-2240
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2051 8th St, Harvey, LA 70058-4001 — (504) 896-2345
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1326927948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2025 |
| Last updated in NPPES | April 30, 2026 |
| Certification date | April 30, 2026 |
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