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Jennifer Nicole Green, NP-C
Family Nurse Practitioner in Louin, Mississippi
NPI 1073064242

Jennifer Nicole Green is a Family Nurse Practitioner based in Gardena, MS and is specialized in Family. Jennifer Nicole Green practices in Louin, MS and has the professional credentials of NP-C. The NPI Number for Jennifer Nicole Green is 1073064242 and holds a License No. 22027 (Mississippi).

The current practice location address for Jennifer Nicole Green is 2421 County Road 16, Louin, MS and can be reached out via phone at 931-384-8212.

Location: 2421 County Road 16, Louin, MS, 90248-4290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073064242
Provider Name
Jennifer Nicole Green
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2421 County Road 16, Louin, MS, 90248-4290
Phone Number
931-384-8212
Fax Number
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2421 County Road 16
City
Louin
State
Mississippi
Zip
39338-3230
Phone Number
931-384-8212
Fax Number
person
Provider Business Mailing Address Details
Address
2421 County Road 16
City
Louin
State
Mississippi
Zip
39338-3230
Phone Number
931-384-8212
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22027 (Tennessee)
Definition
Definition to come...
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