person
Mrs. Jacquelin London Greene, FNP-C
Family Nurse Practitioner in Lebanon, Virginia
NPI 1124002035

Jacquelin London Greene is a Family Nurse Practitioner based in Lebanon, VA and is specialized in Family. Jacquelin London Greene practices in Lebanon, VA and has the professional credentials of FNP-C. The NPI Number for Jacquelin London Greene is 1124002035 and holds a License No. 0024168638 (Virginia).

The current practice location address for Jacquelin London Greene is 58 Carroll St, Lebanon, VA and can be reached out via phone at 276-883-8086 and via fax at 276-883-8090.

Location: 58 Carroll St, Lebanon, VA, 24266
person
Provider Profile Details
NPI Number
1124002035
Provider Name
Jacquelin London Greene
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
58 Carroll St, Lebanon, VA, 24266
Phone Number
276-883-8086
Fax Number
276-883-8090
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124002035 05 VA
0024168638 01 VA VIRGINIA LICENSE
Q003735 05 TN
institution
Provider Business Practice Location Address Details
Address
58 Carroll St
City
State
Zip
24266
Phone Number
276-883-8086
Fax Number
276-883-8090
person
Provider Business Mailing Address Details
Address
58 Carroll St
City
State
Zip
24266
Phone Number
276-883-8086
Fax Number
276-883-8090
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024168638 (Virginia)
Definition
Definition to come...
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