Mrs. Jennifer Jacquelyn Green
Nurse Practitioner - Adult Health
25 Sherington Dr Suite D
Bluffton
, South Carolina 29910
Mrs. Jennifer Jacquelyn Green
Nurse Practitioner - Adult Health
25 Sherington Dr Suite D
Bluffton
, South Carolina 29910
(843) 757-5546
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Jacquelyn Green
- 25 Sherington Dr Suite D
- Bluffton, SC
- Zip : 29910
- Fax : (843) 757-5546
- Phone : (843) 757-5559
Second Address
- Mrs. Jennifer Jacquelyn Green
- 25 Sherington Dr Suite D
- Bluffton, SC
- Zip : 29910
- Fax : (843) 757-5546
- Phone : (843) 757-5559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 2999 | SC |
National Provider Identifier
| NPI | 1013030824 |
|---|---|
| Provider Name | Mrs. Jennifer Jacquelyn Green |
| First Address | Bluffton, SC 29910 |
| Second Address | Bluffton, SC 29910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2007 |
| Last Update Date | 29/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.