| Doctor Name: | MRS. JENNIFER P GREENE |
| NPI Number: | 1104912260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 12273 |
| Business Practice Address: | 740 Middle Creek Rd Suite 200 Sevierville, TN - 378625053 |
| Business Phone Number: | 8659089888 |
| Business Fax Number: | 8659088756 |
| Mailing Address: | 740 Middle Creek Rd, Suite 200 SEVIERVILLE |
| State: | TN |
| Postal Code: | 378625053 |
| Phone Number: | 8659089888 |
| Fax Number: | 8659088756 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 12273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |