Individual
JESSIKA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5939 HARRY HINES BLVD SUITE 700, DALLAS, TX 75389-5707
(214) 645-1919
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143809
TX
Other
Enumeration date
10/29/2019
Last updated
01/09/2020
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