Individual
JODI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 CROSSROADS PL, HIGH RIDGE, MO 63049-2234
(866) 825-3227
(484) 450-2617
Mailing address
161 WASHINGTON ST, EIGHT TOWER BRIDGE, SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227
(484) 450-2617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
152741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152741
LICENSE
MO
Enumeration date
05/19/2008
Last updated
05/19/2008
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