Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN GREEN
Deactivated Sole ProprietorJONATHAN GREEN is a Peer Specialist healthcare provider located in SPRINGDALE, Arkansas. NPI 1548652332 is deactivated in the NPPES registry. Verify at CMS.
Peer Specialist · SPRINGDALE, AR
This NPI has been deactivated.
The record was deactivated on January 6, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548652332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2015 (4.844262295082 yrs)
- Last Updated
- Jan 22, 2020
- Deactivated
- Jan 6, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 TERRY AVESPRINGDALE, AR, 727646804Browse AR providers · Browse ZIP 72764
- Phone
- 4792838509
- Primary Specialty
-
Peer Specialist
175T00000X
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.