Individual
JAMIE ALLISON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2764 W MAIN ST, SNELLVILLE, GA 30078-5708
(770) 978-3388
(770) 978-0807
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
297719
GA
363LF0000X
Family Nurse Practitioner
Primary
297719
GA
Other
Enumeration date
01/13/2022
Last updated
02/14/2023
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