JESSICA GREEN NPI 1811300510

NPI Information

NPI: 1811300510
Provider Name: JESSICA GREEN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1800 MERCY DR
SUITE 302
ORLANDO, FL
ZIP 32808
Phone: (407) 875-3700
Get Directions

Jessica Green is a psychiatric/mental health nurse practitioner in Orlando, FL. Jessica Green NPI is 1811300510. 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:

1800 MERCY DR
SUITE 302
ORLANDO, FL
ZIP 32808-646
Phone: (407) 875-3700
Fax: (407) 522-4671

The NPI 1811300510 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 6/10/2014 and was last updated on 8/22/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN9303454	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP9303454	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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