Individual
JESSIE LYNNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NORTH FIRST STREET, AUGUSTA, AR 72006
(870) 301-6185
(615) 334-0896
Mailing address
1015 NORTH FIRST STREET, AUGUSTA, AR 72006
(870) 301-6185
(615) 334-0896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
120548
AR
Other
Enumeration date
10/21/2019
Last updated
02/17/2026
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