Individual
JESSI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12400 N MERIDIAN ST STE 100, CARMEL, IN 46032-4601
(317) 559-3320
(317) 559-3321
Mailing address
2163 S NOELTING WAY, NEW PALESTINE, IN 46163-9289
(317) 313-1260
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
71010851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300048106
—
IN
Enumeration date
01/25/2021
Last updated
12/28/2023
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