Greene, Jonnie Lisa

Greene, Jonnie Lisa is an individual health care provider with primary practice located at 1025 Verdae Blvd Ste A, Greenville SC 29607-4032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greene, Jonnie Lisa can be contacted via phone (864) 240-5009.

Contact Information

Primary practice address
1025 Verdae Blvd Ste A Greenville SC 29607-4032
Phone: (864) 240-5009
Fax: (864) 240-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 679 South Carolina

Profile Details

NPI number 1982683926
LBN Legal business name Greene, Jonnie Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 28th, 2014 - about 12 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 1982683926 NPPES
South Carolina MEDICAID NP0077

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