Individual
SELMA JAYNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5111 S HOGAN LN, SPOKANE, WA 99223-8140
(509) 954-2184
Mailing address
5111 S HOGAN LN, SPOKANE, WA 99223-8140
(509) 954-2184
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61410620
WA
Other
Enumeration date
02/20/2023
Last updated
01/24/2025
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