Green, Jenifer Lyn

Green, Jenifer Lyn is an individual health care provider with primary practice located at 1221 Sixth St Ste 300 , Traverse City MI 49684-2360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Green, Jenifer Lyn can be contacted via phone (231) 392-0640.

Contact Information

Primary practice address
1221 Sixth St Ste 300 Traverse City MI 49684-2360
Phone: (231) 392-0640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A0307202 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704299051 Michigan

Profile Details

NPI number 1619180064
LBN Legal business name Green, Jenifer Lyn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Dec 18th, 2020 - about 4 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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