Individual
JESSICA L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 S BECKHAM AVE, DEPARTMENT OF ANESTHESIA, TYLER, TX 75701-1908
(877) 281-9905
(817) 877-0350
Mailing address
1000 S BECKHAM AVE, DEPARTMENT OF ANESTHESIA, TYLER, TX 75701-1908
(877) 281-9905
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
795190
TX
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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