Organization
MYHEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JYLL K GREEN ARNP (OWNER)
(907) 248-2482
Entity
Organization
Contact information
Practice address
2105 E 88TH AVE, ANCHORAGE, AK 99507
(907) 248-2482
(907) 248-0045
Mailing address
2105 E 88TH AVE, ANCHORAGE, AK 99507
(907) 248-2482
(907) 248-0045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
859
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP19832
—
AK
Enumeration date
02/13/2007
Last updated
03/24/2016
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