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Individual

MRS. JESSICA LEE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
106 FERRELL AVE STE 5, KINGSPORT, TN 37663-2371
(423) 239-0099
Mailing address
106 FERRELL AVE STE 5, KINGSPORT, TN 37663-2371
(423) 239-0099
(423) 239-0273

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36407
TN

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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