Green, Jessi

Green, Jessi is an individual health care provider with primary practice located at 12400 N Meridian St Ste 100 , Carmel IN 46032-4601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Green, Jessi can be contacted via phone (317) 559-3320.

Contact Information

Primary practice address
12400 N Meridian St Ste 100 Carmel IN 46032-4601
Phone: (317) 559-3320
Fax: (317) 559-3321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71010851A Indiana

Profile Details

NPI number 1972193886
LBN Legal business name Green, Jessi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2021
Last updated Dec 28th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972193886 NPPES
Indiana MEDICAID 300048106

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