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JUSTIN JERMAINE GREEN HAIR LOSS SPECIALIST NPI 1770069684


NPI Information

NPI: 1770069684
Provider Name: JUSTIN JERMAINE GREEN, HAIR LOSS SPECIALIST
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
4412 ELVIS PRESLEY BLVD
MEMPHIS, TN
ZIP 38116
Phone: (901) 830-9256
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Justin Jermaine Green, HAIR LOSS SPECIALIST is a prosthetics case management specialist in Memphis, TN. Justin Jermaine Green, HAIR LOSS SPECIALIST NPI is 1770069684. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4412 ELVIS PRESLEY BLVD
MEMPHIS, TN
ZIP 38116-408
Phone: (901) 830-9256

The enumeration date for this NPI number is 7/13/2018 and was last updated on 7/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11744P3200XSpecialistProsthetics Case Management126818TENNESSEEYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.