Individual
JENNIFER LYNN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4675
(706) 507-4243
(706) 507-4743
Mailing address
149 WOODSTREAM DR, COLUMBUS, GA 31904-2716
(706) 326-8079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112501
GA
Other
Enumeration date
10/20/2022
Last updated
06/12/2024
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