Individual
OANH YVONNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-7273
(904) 244-4195
Mailing address
1473 CARPATHIAN DR, JACKSONVILLE, FL 32218-7974
(904) 210-2499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9259065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003186037A
—
GA
05
—
020082600
—
FL
Enumeration date
01/05/2017
Last updated
04/07/2017
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