Individual
JENNIFER CHRISTINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1859 REDFERN RD, DACULA, GA 30019-2651
(347) 251-1583
Mailing address
1859 REDFERN RD, DACULA, GA 30019-2651
(347) 251-1583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660540-1
NY
163W00000X
Registered Nurse
RN324103
GA
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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