Green, Jerry Lee

Green, Jerry Lee is an individual health care provider with primary practice located at 550 Pope Ave Munson Army Health Center (Attn: Mcxn-Cod, Ms. Cotton), Fort Leavenworth KS 66027-2332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Green, Jerry Lee can be contacted via phone (913) 684-6562.

Contact Information

Primary practice address
550 Pope Ave Munson Army Health Center (Attn: Mcxn-Cod, Ms. Cotton) Fort Leavenworth KS 66027-2332
Phone: (913) 684-6562
Fax: (913) 684-6208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006651 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45863 Kansas

Profile Details

NPI number 1366449316
LBN Legal business name Green, Jerry Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jul 8th, 2007 - about 17 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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