Green-August, Jackie Alicia

Green-August, Jackie Alicia is an individual health care provider with primary practice located at 5963 Namozine Rd , Crewe VA 23930-2734. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Green-August, Jackie Alicia can be contacted via phone (434) 298-4012.

Contact Information

Primary practice address
5963 Namozine Rd Crewe VA 23930-2734
Phone: (434) 298-4012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X Virginia
Other Service Providers / Community Health Worker 172V00000X 3465 Virginia

Profile Details

NPI number 1841987195
LBN Legal business name Green-August, Jackie Alicia
Credentials CCHW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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