Individual
JADE RICKIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 OLD YORK RD, SUITE 102, ABINGTON, PA 19001-2313
(267) 275-5928
Mailing address
7244 CASTOR AVE # 1047, PHILADELPHIA, PA 19149-1109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024409
PA
Other
Enumeration date
09/20/2021
Last updated
07/19/2022
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