Green, Janell Ashlynn
Green, Janell Ashlynn is an individual health care provider with primary practice located at 35 Medical Ridge Dr , Greenville SC 29605-4268. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Green, Janell Ashlynn can be contacted via phone (864) 797-7350.Contact Information
Primary practice address
35 Medical Ridge Dr
Greenville SC 29605-4268
Phone: (864) 797-7350
Fax: (864) 797-7355
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 25310 | South Carolina |
Other Service Providers / Midwife | 176B00000X | South Carolina |
Profile Details
NPI number | 1740953082 |
---|---|
LBN Legal business name | Green, Janell Ashlynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2021 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740953082 | NPPES |
South Carolina | MEDICAID | PENDING |
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