person
Janiel J Green, PA-C
Medical Physician Assistant in Rexburg, Idaho
NPI 1114297660

Janiel J Green is a Medical Physician Assistant based in Rexburg, ID and is specialized in Medical. Janiel J Green practices in Rexburg, ID and has the professional credentials of PA-C. The NPI Number for Janiel J Green is 1114297660 and holds a License No. PA-957 (Idaho).

The current practice location address for Janiel J Green is 36 Professional Plz, Rexburg, ID and can be reached out via phone at 208-356-0234 and via fax at 208-656-8444.

Location: 36 Professional Plz, Rexburg, ID, 83440-2049
person
Provider Profile Details
NPI Number
1114297660
Provider Name
Janiel J Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
36 Professional Plz, Rexburg, ID, 83440-2049
Phone Number
208-356-0234
Fax Number
208-656-8444
Provider Enumeration Date
12/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
36 Professional Plz
City
State
Zip
83440-2049
Phone Number
208-356-0234
Fax Number
208-656-8444
person
Provider Business Mailing Address Details
Address
36 Professional Plz
City
State
Zip
83440-2049
Phone Number
208-356-0234
Fax Number
208-656-8444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-957 (Idaho)
Definition
Definition to come...
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