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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OTIS HOWARD GREEN III, ARNP

Active

OTIS HOWARD GREEN III, ARNP is a Family Nurse Practitioner healthcare provider located in JACKSONVILLE, Florida. NPI 1629561451 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · JACKSONVILLE, FL

Registration Details

NPI Number
1629561451
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2018 (8.1628461235331 yrs)
Last Updated
Sep 19, 2025
License
9344018 (FL)

Practice Information

Address
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL, 322078535
Browse FL providers · Browse ZIP 32207
Phone
9042536910
Fax
9042536964
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in JACKSONVILLE, FL

Name Credential NPI
MELODY ALICE PEREZ APRN 1174526719
ELLEN M. HUSON ARNP, FNP 1417953860
MS. SANDRA L SMITH APRN, FNP-BC 1356342984
MRS. MERNAMIE CASTARDO TAMAN ARNP/NURSE PRACTITIO 1710968912
KENA C MILLER ARNP 1942283247
MRS. SYLVIA PATRICIA RATLIFF NP-C 1043293152
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.