| Doctor Name: | MRS. JODY L GREEN |
| NPI Number: | 1881926160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 004749 |
| Business Practice Address: | 48 W 1500 N Nephi, UT - 84648 |
| Business Phone Number: | 4356233000 |
| Business Fax Number: | 4356233123 |
| Mailing Address: | 48 W 1500 N, Po Box 412 NEPHI |
| State: | UT |
| Postal Code: | 84648 |
| Phone Number: | 4356233000 |
| Fax Number: | 4356233123 |
| NPI Enumeration Date: | 02/11/2010 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 004749 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |