# JACQUELINE ANES-QUANN GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427705029
- **Gender:** F
- **Credential:** AGPCNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | L1-0048880 | DE | — |
| 363LA2200X | Adult Health Nurse Practitioner | LP-0010505 | DE | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | LP-0010505 | DE | — |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/07/2022
