Individual
JE'DETTE ANGELIQUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
2925 DEBARR RD STE 199, ANCHORAGE, AK 99508-2959
(907) 375-2025
Mailing address
PO BOX 90812, ANCHORAGE, AK 99509-0812
(907) 375-2025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1178
AK
Other
Enumeration date
12/28/2010
Last updated
12/30/2020
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