Greenley, Jagail D

Greenley, Jagail D is an individual health care provider with primary practice located at 415 Mulberry Street , Evansville IN 47713-1230. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Greenley, Jagail D can be contacted via phone (812) 423-7791.

Contact Information

Primary practice address
415 Mulberry Street Evansville IN 47713-1230
Phone: (812) 423-7791
Fax: (812) 422-7558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28129439A Indiana

Profile Details

NPI number 1780841064
LBN Legal business name Greenley, Jagail D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Oct 9th, 2015 - about 9 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 1780841064 NPPES
Indiana MEDICAID 100240880

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