Individual
MS. JENNIFER SUSAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
28535 LAKE PARK DR W, FARMINGTON HILLS, MI 48331-4621
(248) 225-2826
Mailing address
28535 LAKE PARK DR W, FARMINGTON HILLS, MI 48331-4621
(248) 225-2826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704144751
MI
363LF0000X
Family Nurse Practitioner
Primary
4704144751
MI
Other
Enumeration date
04/29/2011
Last updated
03/08/2024
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