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
Fax: (864) 797-7355
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740953082 NPPES
South Carolina MEDICAID PENDING

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