MRS. JESSICA MCCALL GREEN CRNP NPI 1366091886

NPI Information

NPI: 1366091886
Provider Name: MRS. JESSICA MCCALL GREEN, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: CRMC MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
1948 AL HIGHWAY 157 STE 360
CULLMAN, AL
ZIP 35058
Phone: (256) 735-5570
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MRS. Jessica Mccall Green, CRNP is a psychiatric/mental health nurse practitioner in Cullman, AL with 5 years of experience. MRS. Jessica Mccall Green, CRNP NPI is 1366091886. 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:

1948 AL HIGHWAY 157 STE 360
CULLMAN, AL
ZIP 35058-604
Phone: (256) 735-5570
Fax: (256) 735-5571

The NPI 1366091886 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 9/6/2019 and was last updated on 1/5/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1-136749	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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