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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