Jasmine Green, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11015242 Issued in FL

Practice address

2511 Saint Johns Bluff Rd S Ste And201
Jacksonville, FL 32246-2346

Phone

(904) 230-5437

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Jasper, FL
  • NPI 1033114285
  NPD (past)
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Live Oak, FL
  • NPI 1558602482
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jgreen712535@direct.shands.ufl.edu
• Direct secure messaging: jasmine.green.p1@direct.nfpeds.nextgenshare.com

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1972198133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 RAVINE HILL DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320681708",
            "telephone_number": "706-393-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 SAINT JOHNS BLUFF RD S STE AND201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462346",
            "telephone_number": "904-230-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASMINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Beven Green, OTR/L
• Dwayne Green
• Jalecia Angelica Green, PHARMD
• James Douglas Green Jr., M.D.
• Jamie Rain Green
• Jasmine Alexandra Green
• Jeffrey Michael Green, PA-C
• Jessika Rebekkah Green
• Jodi S Green, M.A., CCC-A, FAAA
• Katerina Jane Green, MB BCH BAO

• All providers in Jacksonville, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.