Individual
JENNIFER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
COA.19064-NP
OH
Other
Enumeration date
04/11/2016
Last updated
05/02/2016
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