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Organization
GREEN WELLNESS NP IN FAMILY HEALTH PLLC
Active
Organization
GREEN WELLNESS NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE RICKIA GREEN CRNP (CEO)
(267) 275-5928
Entity
Organization
Contact information
Practice address
14 LAFAYETTE SQ STE 2300, BUFFALO, NY 14203-1923
(267) 275-5928
Mailing address
1420 WISTAR DR, WYNCOTE, PA 19095-2313
(267) 275-5928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
10/28/2024
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