Individual
JENNIFER L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Mailing address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015950
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103112139
—
PA
Enumeration date
05/12/2016
Last updated
08/15/2017
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