CHANTEL MARIE GREEN

JEFFERSON CITY, MO
NPI1457075889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2022037794)
Enumeration Date2022-09-29
Last Update Date2023-06-28
Business Address
CHANTEL MARIE GREEN FNP
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
Mailing Address
CHANTEL MARIE GREEN FNP
6117 ROLING RD
JEFFERSON CITY, MO 65101-8987
Phone number: 573-680-2895
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