Individual
JENNA L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
509 OLIVE WAY STE 200&900, SEATTLE, WA 98101-1720
(206) 329-1760
Mailing address
608 LINCOLN AVE, APT #308, SAINT PAUL, MN 55102-2877
(651) 492-8588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60759481
WA
363LF0000X
Family Nurse Practitioner
Primary
R184970-7
MN
Other
Enumeration date
08/22/2011
Last updated
03/17/2018
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