Individual
TAYLOR JORDAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
834 N SEMINARY ST, GALESBURG, IL 61401-2852
(309) 343-7132
Mailing address
834 N SEMINARY ST, GALESBURG, IL 61401-2852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209023114
IL
363L00000X
Nurse Practitioner
Primary
209023114
IL
Other
Enumeration date
03/10/2021
Last updated
01/23/2023
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