Individual
MS. JEAN MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CCM
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
504 EDWARDS RD, JACKSONVILLE, NC 28540-9218
(910) 330-9140
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
137106
NC
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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