Individual
JASON KYLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2120 EXETER RD STE 250, GERMANTOWN, TN 38138-3931
(901) 767-5864
(901) 767-6591
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
30295
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
344135
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4746
TN
207RP1001X
Pulmonary Disease Physician
30295
MS
207RP1001X
Pulmonary Disease Physician
344135
LA
207RP1001X
Pulmonary Disease Physician
Primary
4746
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
30295
MS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4746
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
01/30/2026
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