person
Jaclyn Green
Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin
NPI 1114650413

Jaclyn Green is a Student in an Organized Health Care Education/Training Program based in Milwaukee, WI. Jaclyn Green practices in Milwaukee, WI. The NPI Number for Jaclyn Green is 1114650413 and holds a License No. (Wisconsin).

The current practice location address for Jaclyn Green is 1312 E Oklahoma Ave, Milwaukee, WI and can be reached out via phone at 414-595-4570.

Location: 1312 E Oklahoma Ave, Milwaukee, WI, 53207-2457
person
Provider Profile Details
NPI Number
1114650413
Provider Name
Jaclyn Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1312 E Oklahoma Ave, Milwaukee, WI, 53207-2457
Phone Number
414-595-4570
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1312 E Oklahoma Ave
City
State
Zip
53207-2457
Phone Number
414-595-4570
Fax Number
person
Provider Business Mailing Address Details
Address
1312 E Oklahoma Ave
City
State
Zip
53207-2457
Phone Number
414-595-4570
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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