Green, Jennifer S

Green, Jennifer S is an individual health care provider with primary practice located at 4425 Paulsen St , Savannah GA 31405-3637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Green, Jennifer S can be contacted via phone (912) 355-6615.

Contact Information

Primary practice address
4425 Paulsen St Savannah GA 31405-3637
Phone: (912) 355-6615
Fax: (912) 354-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4605 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004605 Georgia

Profile Details

NPI number 1588658363
LBN Legal business name Green, Jennifer S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated May 23rd, 2019 - about 6 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 1588658363 NPPES
Georgia MEDICAID 467115303A

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