| NPI | 1952661696 |
|---|---|
| Former Name | JESSICA RENEE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.025525) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02986) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 235439) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2025-06-26 |