Individual
JENNIFER GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11155 TUCKER RD, PLEASANTON, KS 66075-8401
(913) 352-8379
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(913) 352-8379
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
80449
KS
Other
Enumeration date
07/28/2020
Last updated
03/15/2023
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