Individual
JASON ALLEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
101 ASHLAND WAY STE 1, MADISONVILLE, LA 70447-3357
(985) 871-5955
Mailing address
101 ASHLAND WAY STE 1, MADISONVILLE, LA 70447-3357
(985) 871-5955
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
206364
LA
Other
Enumeration date
02/15/2020
Last updated
10/10/2024
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