Jivonne Nikell Prioleau-Green in Philadelphia - Independent Duty Corpsman
Jivonne Nikell Prioleau-Green - NPI 1063547966
Jivonne Nikell Prioleau-Green is a Independent Duty Corpsman in Philadelphia, Pennsylvania. Jivonne Nikell Prioleau-Green practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Jivonne Nikell Prioleau-Green is 1063547966. The last update date is 2007-07-08.
Jivonne Nikell Prioleau-Green's current location address is 1 Washington Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152714816 and fax number 2152714817. The mailing address for Jivonne Nikell Prioleau-Green is 1 Washington Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jivonne Nikell Prioleau-Green |
|---|---|
| Address | 1 Washington Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152714816 |
| Fax Number | 2152714817 |
| Sole Proprietor | N |
| Credentials | HS |
NPI Number Detail
| NPI Number | 1063547966 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Washington Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191474335 |
| Phone Number | 2152714816 |
| Fax Number | 2152714817 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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Post Comment/ Review Below
What is the Jivonne Nikell Prioleau-Green's 1063547966?
The Jivonne Nikell Prioleau-Green's NPI (National Provider Identifier) Number is 1063547966. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jivonne Nikell Prioleau-Green's facilities are situated?
The facilities of Jivonne Nikell Prioleau-Green are physically located at the following address: 1 Washington Ave, Philadelphia, PA, 191474335.
What is Jivonne Nikell Prioleau-Green's area of expertise and its corresponding taxonomy classification?
The Jivonne Nikell Prioleau-Green's field of specialization is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1063547966 to Jivonne Nikell Prioleau-Green?
The Centers for Medicare & Medicaid Services assigned the 1063547966 to Jivonne Nikell Prioleau-Green on 2007-02-22.
As of what date was the information regarding Jivonne Nikell Prioleau-Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jivonne Nikell Prioleau-Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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