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Individual

MRS. BINNECE JILL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN PNP-BC

Contact information

Practice address
3400 CIVIC CENTER BLVD, 9326 CHOP/MAIN, PHILADELPHIA, PA 19104-4306
(215) 590-3842
(215) 590-1415
Mailing address
3400 CIVIC CENTER BLVD, 9326 CHOP/MAIN, PHILADELPHIA, PA 19104
(215) 590-3842
(215) 590-1415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05351200
NJ
163W00000X
Registered Nurse
RN216484L
PA
363LP0200X
Pediatric Nurse Practitioner
26NN05351200
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009375
PA

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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