MEDICARE: MISS SARAH JOCELYN GREENE APRN, BC, FNP

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
1	363LF0000X	Family Nurse Practitioner	APN8298	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659375509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH JOCELYN GREENE APRN, BC, FNP

Provider Business Mailing Address
First Line	:	1313 21ST AVENUE SOUTH
Second Line	:	SUITE 801 OXFORD HOUSE
City	:	NASHVILLE
State	:	TN
Zip	:	37232-4753
Country	:	US
Telephone Number	:	615-936-0420
Fax Number	:	615-936-2787

Provider Business Practice Location Address
First Line	:	1313 21ST AVENUE SOUTH
Second Line	:	SUITE 801 OXFORD HOUSE
City	:	NASHVILLE
State	:	TN
Zip	:	37232-4753
Country	:	US
Telephone Number	:	615-936-0420
Fax Number	:	615-936-2787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/12/2008

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