Individual
JEFFREY P. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7855 HOWELL BLVD, BATON ROUGE, LA 70807
(225) 358-4900
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04240
LA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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