Individual
JENNIFER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 291-1203
Mailing address
2526 AVENUE A, COUNCIL BLUFFS, IA 51501-2269
(402) 981-8640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P54382
IA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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