Individual
JENNA L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60759481
WA
363LF0000X
Family Nurse Practitioner
R184970-7
MN
Other
Enumeration date
08/22/2011
Last updated
07/17/2026
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