Doctor Name: | MRS. JENNIFER LEIGH GREER |
NPI Number: | 1265753172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | R861844 |
Business Practice Address: | 405 Market St Port Gibson, MS - 391502024 |
Business Phone Number: | 6014373323 |
Business Fax Number: | |
Mailing Address: | Po Box 676, PORT GIBSON |
State: | MS |
Postal Code: | 391500676 |
Phone Number: | 6014373323 |
Fax Number: | 6014378499 |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R861844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |