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NPI Code Detail

MEDICARE: DR. JANUARY LAUREN GREEN FNP-C

MEDICARE:  DR. JANUARY LAUREN GREEN  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerLG-0013284DE
2363LF0000XFamily Nurse PractitionerAP135062TX

General Provider Information

NPI Number : 1588163885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANUARY LAUREN GREEN FNP-C
Provider Business Mailing Address
First Line : 2007 N COLLINS BLVD STE 303
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2666
Country : US
Telephone Number : 214-257-0682
Fax Number :
Provider Business Practice Location Address
First Line : 5800 RANCHESTER
Second Line : SUITE 125
City : HOUSTON
State : TX
Zip : 77036-2470
Country : US
Telephone Number : 866-306-2026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2018
Last Update Date : 12/08/2025

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Directions to “ DR. JANUARY LAUREN GREEN FNP-C” Practice Location

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