Jean Green
Individual provider Active NPI Medical-Surgical Registered Nurse · Ocilla, GA
NPI 1114337359 · NPPES record last updated Apr 28, 2014
Key facts
- NPI
- 1114337359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- RN174038 (GA)
- Practice address
- 232 Crepe Myrtle Cir
Ocilla, GA 31774-3348 - Phone
- (229) 325-6068
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174038 | GA | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN174038 | GA | Yes |
Addresses
Primary practice location
232 Crepe Myrtle Cir
Ocilla, GA 31774-3348
Mailing address
232 Crepe Myrtle Cir
Ocilla, GA 31774-3348
Phone (229) 325-6068
Other providers in Ocilla, GA
- Dana Paulk
- Deborah J. Harrell, MSW
- Lorena R Doctor
- Kathrine A Gibbons
- Stephanie Tameika Glover
- Joye Christina Griffin
- Julie M Harper
- Heart to Heart Arrhythmia and Medical Consultants, LLC
- Hospital Authority of Irwin County
- Hospital Authority of Irwin County
All providers in Ocilla, GA · Medical-Surgical Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.