Green-Blair, Jean Caroll

Green-Blair, Jean Caroll is an individual health care provider with primary practice located at 1100 Loveland Blvd , Port Charlotte FL 33980-1802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green-Blair, Jean Caroll can be contacted via phone (941) 624-7200.

Contact Information

Primary practice address
1100 Loveland Blvd Port Charlotte FL 33980-1802
Phone: (941) 624-7200
Fax: (941) 624-7202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3403762 Florida

Profile Details

NPI number 1205992450
LBN Legal business name Green-Blair, Jean Caroll
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 26th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205992450 NPPES
Florida MEDICAID 306537500

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