Individual
JAMIE LEIGH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 N COMMERCE ST, TUPELO, MS 38804-4010
(662) 322-2858
Mailing address
125 RIPPAVILLA ST, SALTILLO, MS 38866-5784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
865649
MS
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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