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NPI Code Detail

MEDICARE: MRS. JENNIFER TERESA GREEN WHNP

MEDICARE:  MRS. JENNIFER TERESA GREEN  WHNP
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
1363LW0102XWomen's Health Nurse PractitionerF421042NY

General Provider Information

NPI Number : 1811245715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER TERESA GREEN WHNP
Provider Business Mailing Address
First Line : 7943 SEAVIEW AVE
Second Line : #3
City : BROOKLYN
State : NY
Zip : 11236-4130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7943 SEAVIEW AVE
Second Line : #3
City : BROOKLYN
State : NY
Zip : 11236-4130
Country : US
Telephone Number : 347-623-1816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 08/27/2012

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Directions to “ MRS. JENNIFER TERESA GREEN WHNP” Practice Location

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