Individual
JENNIFER C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
838 E 625 S, LAYTON, UT 84041-4300
(801) 725-5595
Mailing address
838 E 625 S, LAYTON, UT 84041-4300
(801) 725-5595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4739191-4405
UT
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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