Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON TUCKER GREEN, DDS
ActiveDR. JACKSON TUCKER GREEN, DDS is a Student (Health Education/Training) healthcare provider located in MEMPHIS, Tennessee. NPI 1902535495 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MEMPHIS, TN
Registration Details
- NPI Number
- 1902535495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2022 (4.1957910265854 yrs)
- Last Updated
- May 12, 2025
- Licenses
-
D011416 (AZ)D011416 (AZ)
Practice Information
- Address
-
875 UNION AVEMEMPHIS, TN, 381632211Browse TN providers · Browse ZIP 38163
- Phone
- 9014481731
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| JACKIE GRAYSON | MD | 1699803239 |
| RODNEY PAULLUS | MD | 1750406179 |
| MONIQUE AARON FOSTER | M.D. | 1306064035 |
| DR. HIMESH GUPTA | MD | 1972721835 |
| DR. REHAN SHAFIQUE | M.D. | 1851510143 |
| ISABEL GARRALON GOMEZ | M.D. | 1114130812 |
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.