Jessica Lynn Green

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703121607 Issued in MI

Practice address

401 Howard St
Kalamazoo, MI 49001-2748

Phone

(269) 344-4458

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1700637733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012748",
            "telephone_number": "269-344-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012748",
            "telephone_number": "269-344-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703121607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Heights Afc
• Frederick G Greaves, EDD
• Jill Ann Green-Brown, MA, LLP
• Calvin Green, BA
• Jae Michael Green, PA-C
• John P Green, PA
• Mackenzie Green
• Morgan E Green
• Phillip M Green, MD
• Sheila Lynn Green, ATC

• Licensed Practical Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.