Individual
JENNIFER A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 748-6851
Mailing address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 748-6851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005029
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100016670
—
KY
Enumeration date
12/26/2006
Last updated
07/25/2016
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