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Individual

JESSICA ERIN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
11700 W. 2ND PLACE, MEDICAL PLAZA 2, STE 310, LAKEWOOD, CO 80228
(720) 321-8300
(720) 321-8301
Mailing address
11700 W. 2ND PLACE, MEDICAL PLAZA 2, STE 310, LAKEWOOD, CO 80228
(720) 321-8300
(720) 321-8301

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10202320
OR
133V00000X
Registered Dietitian
1154
ID
133V00000X
Registered Dietitian
61000856
WA
133V00000X
Registered Dietitian
Primary
DT81445
TX
133V00000X
Registered Dietitian
LD-1352
NM
133V00000X
Registered Dietitian

Other

Enumeration date
11/08/2023
Last updated
02/26/2025
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