Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE GREEN JR., FNP
ActiveMR. JERRY LEE GREEN JR., FNP is a Family Nurse Practitioner healthcare provider located in FORT LEAVENWORTH, Kansas. NPI 1366449316 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FORT LEAVENWORTH, KS
Registration Details
- NPI Number
- 1366449316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2005 (21.065577679589 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
AP30006651 (WA)45863 (KS)
Practice Information
- Address
-
550 POPE AVEMUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)FORT LEAVENWORTH, KS, 660272332Browse KS providers · Browse ZIP 66027
- Phone
- 9136846562
- Fax
- 9136846208
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in FORT LEAVENWORTH, KS
| Name | Credential | NPI |
|---|---|---|
| JAMES LAWRENCE SALL | FNP | 1457341968 |
| ERNEST FRANCIA DEGENHARDT | NURSE PRACTITIONER | 1407837404 |
| ALEXIA L TICKNOR | APRN-FNP | 1639427370 |
| VINCENT KRAUSE | APRN | 1205442944 |
| MRS. JENNIFER HERRIAGE | APRN | 1518674274 |
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.