Individual
JENNIFER LOUISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 S LAKE PARK AVE, STE 1103, HOBART, IN 46342-6641
(219) 947-6448
(219) 947-6839
Mailing address
1600 S LAKE PARK AVE, STE 1103, HOBART, IN 46342-6641
(219) 947-6448
(219) 947-6839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003567A
IN
Other
Enumeration date
10/28/2010
Last updated
04/19/2011
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