Individual
JANIE LOVETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1640
Mailing address
15438 GENERAL LAFAYETTE BLVD, BRANDYWINE, MD 20613-7708
(414) 704-4976
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177030
VA
Other
Enumeration date
12/25/2018
Last updated
07/21/2020
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