Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN GREEN
Active Sole ProprietorMedical-Surgical Nurse · OCILLA, GA
Registration Details
- NPI Number
- 1114337359
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2014 (12.010502147302 yrs)
- Last Updated
- Apr 28, 2014
- License
-
RN174038 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
232 CREPE MYRTLE CIROCILLA, GA, 317743348Browse GA providers · Browse ZIP 31774
- Phone
- 2293256068
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.