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

JENNESE GREEN

Active Sole Proprietor

JENNESE GREEN is a Home Health Aide healthcare provider located in HACKER VALLEY, West Virginia. NPI 1710780457 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · HACKER VALLEY, WV

Registration Details

NPI Number
1710780457
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2025 (1.3883410575842 yrs)
Last Updated
Mar 28, 2025
Sole Proprietor
Yes

Practice Information

Address
79 POPLAR DR
HACKER VALLEY, WV, 262228880
Browse WV providers · Browse ZIP 26222
Phone
3041651738
Primary Specialty
Home Health Aide
374U00000X
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.