Jennifer Green
Individual provider Active NPI Case Manager/Care Coordinator · Caddo, OK
NPI 1730560459 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1730560459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 610 Russell Rd
Caddo, OK 74729-1111 - Phone
- (580) 230-8945
- Fax
- (918) 465-0301
- NPI assigned
- Jun 18, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
610 Russell Rd
Caddo, OK 74729-1111
Mailing address
610 Russell Rd
Caddo, OK 74729-1111
Other providers in Caddo, OK
- Dana Melynda Blackwell
- Bryan County School District I5
- Alyssa Michelle Hamilton
- Loretta M Hardy
- Kari Kamay Harman
- April Denise Hinkle
- Jill Love
All providers in Caddo, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2015. 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.