Individual
JESSICA RENEE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
988 WEST A STREET, CRESWELL, OR 97426
(541) 895-6197
(541) 895-6199
Mailing address
37081 GOATS RD, SPRINGFIELD, OR 97478-9789
(541) 912-4092
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
200842212RN
OR
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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