Green, Jennifer

Green, Jennifer is an sole proprietor health care provider with primary practice located at 448 Pendrey Dr , Port Orange FL 32127-9528. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is her primary health care specialty. Green, Jennifer can be contacted via phone (386) 215-2961.

Contact Information

Primary practice address
448 Pendrey Dr Port Orange FL 32127-9528
Phone: (386) 215-2961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA338144 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA16652 Florida

Profile Details

NPI number 1134608458
LBN Legal business name Green, Jennifer
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2018
Last updated Aug 8th, 2018 - about 8 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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