Doctor Name: | JEANNE W GREEN |
NPI Number: | 1023173523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009280 |
Business Practice Address: | 400 Oxford Dr Suite 201 Monroeville, PA - 151462351 |
Business Phone Number: | 4123741441 |
Business Fax Number: | 4123741441 |
Mailing Address: | 5150 Centre Ave, Room 456 PITTSBURGH |
State: | PA |
Postal Code: | 152321309 |
Phone Number: | 4122351155 |
Fax Number: | 4126486985 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP009280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |