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

Mr. Jaquez Terell Johnson, MBA

Individual provider Case Manager/Care Coordinator · NPI 1457192148

Mr. Jaquez Terell Johnson, MBA is a Case Manager/Care Coordinator in Lake Wales, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

113 Dinner Lake Ave
Lake Wales, FL 33859-2155
Phone: (662) 769-4077
Show map & directions

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 number1457192148
Entity typeIndividual (Type 1)
GenderMale
Credentials MBA
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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