Green, Jacob

Green, Jacob is an individual health care provider with primary practice located at 2001 N Jefferson Ave Ste 100 , Mount Pleasant TX 75455-1104. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Green, Jacob can be contacted via phone (903) 577-6787.

Contact Information

Primary practice address
2001 N Jefferson Ave Ste 100 Mount Pleasant TX 75455-1104
Phone: (903) 577-6787
Fax: (903) 434-8072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 718581 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 132269 Texas

Profile Details

NPI number 1669921789
LBN Legal business name Green, Jacob
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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