Individual
JENNA BIVINS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 W SHOWALTER DR, GEORGETOWN, KY 40324-2081
(502) 868-6101
Mailing address
101 W SHOWALTER DR, GEORGETOWN, KY 40324-2081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014833
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3014833
KY
Other
Enumeration date
08/07/2020
Last updated
09/15/2023
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