MRS. Johanna Green-jacob, NURSE PRACTITIONER is a family nurse practitioner in San Diego, CA. MRS. Johanna Green-jacob, NURSE PRACTITIONER NPI is 1609863968. 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:
823 GATEWAY CENTER WAY
SAN DIEGO, CA
ZIP 92102-541
Phone: (619) 515-2300
Fax: (619) 906-4564
The enumeration date for this NPI number is 10/3/2005 and was last updated on 2/25/2014.