MRS. JACQUELIN LONDON GREENE FNP-C NPI 1124002035

NPI Information

MRS. Jacquelin London Greene, FNP-C is a family nurse practitioner in Lebanon, VA. MRS. Jacquelin London Greene, FNP-C NPI is 1124002035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

58 CARROLL ST
LEBANON, VA
ZIP 24266
Phone: (276) 883-8086
Fax: (276) 883-8090

The NPI 1124002035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 2/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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