Individual
ANDREW DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 503-5464
(904) 575-4399
Mailing address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 503-5464
(904) 575-4399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9176315
FL
Other
Enumeration date
06/11/2012
Last updated
09/11/2023
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