Individual
MISS JORDAN RANEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 GRANDE MEADOWS DR STE 250, BRIDGEPORT, WV 26330-9035
(304) 598-8900
Mailing address
3463 APPLE PIE RIDGE RD, WELLSBURG, WV 26070-2417
(304) 639-5976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110151
WV
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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