Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jatiqualyn Dejenae Gray

Individual provider Case Manager/Care Coordinator · NPI 1235641309

Miss. Jatiqualyn Dejenae Gray is a Case Manager/Care Coordinator in Shreveport, Louisiana. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

9403 Mansfield Rd
Shreveport, LA 71118
Phone: (318) 603-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1235641309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESMay 22, 2018

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