Green, Jennifer Susan

Green, Jennifer Susan is an sole proprietor health care provider with primary practice located at 28535 Lake Park Dr W , Farmington Hills MI 48331-4621. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Jennifer Susan can be contacted via phone (248) 225-2826.

Contact Information

Primary practice address
28535 Lake Park Dr W Farmington Hills MI 48331-4621
Phone: (248) 225-2826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704144751 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704144751 Michigan

Profile Details

NPI number 1326339938
LBN Legal business name Green, Jennifer Susan
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2011
Last updated Mar 8th, 2024 - about 8 months 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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