Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCUS JERMAINE GREEN
Active Sole ProprietorMARCUS JERMAINE GREEN is a Behavioral Health, Residential healthcare provider located in JACKSONVILLE, Florida. NPI 1932848025 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1932848025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2022 (4.2629336780576 yrs)
- Last Updated
- May 27, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1544 W 25TH STJACKSONVILLE, FL, 322094282Browse FL providers · Browse ZIP 32209
- Phone
- 9046162764
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| IDEAL PUGH | — | 1952616112 |
| LATONIA DELORES SIMMONS | — | 1841629243 |
| JOANNA JOHNSON | — | 1104378041 |
| MISS PHYLLIS DIANE PORTER | — | 1952842528 |
| DOROTHY WASHINGTON | — | 1013481720 |
| ERICA C WILLIAMS | — | 1174153852 |
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.