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Individual
JEANETTE FAITH GREEN
Active
Individual
JEANETTE FAITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
RN302799
GA
363LP0200X
Pediatric Nurse Practitioner
APRN9189741
FL
363LP0200X
Pediatric Nurse Practitioner
RN302779
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN302779
GA
Other
Enumeration date
08/18/2008
Last updated
10/15/2024
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