person
Mrs. Barbara R. Green
Gerontology Nurse Practitioner in Jacksonville, Florida
NPI 1790306637

Barbara R. Green is a Gerontology Nurse Practitioner based in Fort Myers, FL and is specialized in Gerontology. Barbara R. Green practices in Jacksonville, FL. The NPI Number for Barbara R. Green is 1790306637 and holds a License No. 11006904 (Florida).

The current practice location address for Barbara R. Green is 7451 103Rd St Ste 8, Jacksonville, FL and can be reached out via phone at 904-683-4968 and via fax at 904-902-1202.

Location: 7451 103Rd St Ste 8, Jacksonville, FL, 33901-9342
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Provider Profile Details
NPI Number
1790306637
Provider Name
Barbara R. Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
7451 103Rd St Ste 8, Jacksonville, FL, 33901-9342
Phone Number
904-683-4968
Fax Number
904-902-1202
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OV684 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
7451 103Rd St Ste 8
City
State
Zip
32210-9300
Phone Number
904-683-4968
Fax Number
904-902-1202
person
Provider Business Mailing Address Details
Address
7451 103Rd St Ste 8
City
State
Zip
32210-9300
Phone Number
904-683-4968
Fax Number
904-902-1202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
11006904 (Florida)
Definition
Definition to come...
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