Individual
JESSICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 LEEGATE RD NW, WASHINGTON, DC 20012-1326
(240) 888-1638
Mailing address
1331 LEEGATE RD NW, WASHINGTON, DC 20012-1326
(240) 888-1638
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX7507
MD
133N00000X
Nutritionist
Primary
NU200000276
DC
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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