Active NPIIndividual provider

Jenna Green

Physician Assistant, Surgical in Cambridge, Massachusetts

NPI Number1164811824
Practice location
330 Mount Auburn St, 2ND Floor, Department Of Surgery, Cambridge, MA 02138-5502
Fax
617-499-5593
Last updated
January 20, 2015

Jenna Green is a Physician Assistant, Surgical based in Cambridge, MA. Jenna Green practices in Cambridge, MA. The NPI Number for Jenna Green is 1164811824 and holds a License No. PA5182 (MA). The current practice location address for Jenna Green is 330 Mount Auburn St, 2ND Floor, Department Of Surgery, Cambridge, MA 02138-5502 and can be reached out via phone at 617-499-5150 and via fax at 617-499-5593.

Provider Profile Details

NPI Number
1164811824
Provider Name
Jenna Green
Provider Entity Type
Individual
Gender
Female
Address
330 Mount Auburn St, 2ND Floor, Department Of Surgery, Cambridge, MA 02138-5502
Phone Number
617-499-5150
Fax Number
617-499-5593
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2015
Last Update Date
January 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Mount Auburn St
2ND Floor, Department Of Surgery
Cambridge, MA 02138-5502
Zip
02138-5502
Phone Number
617-499-5150
Fax Number
617-499-5593
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
330 Mount Auburn St
2ND Floor, Department Of Surgery
Cambridge, MA 02138-5502
City
Cambridge
State
MA
Zip
02138-5502
Phone Number
617-499-5150
Fax Number
617-499-5593

License Information

License Number
PA5182
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna Green?

The NPI number of Jenna Green is 1164811824. It was assigned on January 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Jenna Green?

Jenna Green is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA5182.

Where does Jenna Green practice?

The practice location is 330 Mount Auburn St, 2ND Floor, Department Of Surgery, Cambridge, MA 02138-5502. The office can be reached at 617-499-5150 (phone) or 617-499-5593 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164811824 directly on the NPPES registry website.

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