Healthcare Provider Details

I. General information

NPI: 1659375509
Provider Name (Legal Business Name): SARAH JOCELYN GREENE APRN, BC, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 21ST AVENUE SOUTH SUITE 801 OXFORD HOUSE
NASHVILLE TN
37232-4753
US

IV. Provider business mailing address

1313 21ST AVENUE SOUTH SUITE 801 OXFORD HOUSE
NASHVILLE TN
37232-4753
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-0420
  • Fax: 615-936-2787
Mailing address:
  • Phone: 615-936-0420
  • Fax: 615-936-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN8298
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: