JENNA GREEN NPI 1164811824

NPI Information

  • NPI: 1164811824
  • Provider Name: JENNA GREEN
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 MOUNT AUBURN ST
    2ND FLOOR, DEPARTMENT OF SURGERY
    CAMBRIDGE, MA
    ZIP 02138
  • Phone: (617) 499-5150

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NPI Details

Jenna Green is a surgical physician assistant in Cambridge, MA. Jenna Green NPI is 1164811824. 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:

330 MOUNT AUBURN ST
2ND FLOOR, DEPARTMENT OF SURGERY
CAMBRIDGE, MA
ZIP 02138-502
Phone: (617) 499-5150
Fax: (617) 499-5593

The NPI 1164811824 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 1/20/2015 and was last updated on 1/20/2015.

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
1363AS0400XPhysician AssistantSurgicalPA5182MASSACHUSETTSYes

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: 3/30/2025

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