Individual
JAZMYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2136 W M 32, GAYLORD, MI 49735-9282
(989) 732-1791
Mailing address
836 E MAIN ST, VANDERBILT, MI 49795-9370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704404824
MI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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