Green, Jennifer Renee
Green, Jennifer Renee is an sole proprietor health care provider with primary practice located at 3886 Henderson Dr , Jacksonville NC 28546-5219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Green, Jennifer Renee can be contacted via phone (910) 989-2682.Contact Information
Primary practice address
3886 Henderson Dr
Jacksonville NC 28546-5219
Phone: (910) 989-2682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5021912 | North Carolina |
Profile Details
| NPI number | 1649075359 |
|---|---|
| LBN Legal business name | Green, Jennifer Renee |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2025 |
| Last updated | Apr 21st, 2025 - about last year |
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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