Individual
JESSICA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19701 SW 137TH AVE, MIAMI, FL 33177-4703
(917) 691-0304
Mailing address
19701 SW 137TH AVE, MIAMI, FL 33177-4703
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9554291
FL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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