Jerril Green in Little Rock - Pediatric Critical Care Medicine
Jerril Green - NPI 1457441016
Jerril Green is a Pediatric Critical Care Medicine in Little Rock, Arkansas. Jerril Green practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jerril Green is 1457441016. The last update date is 2014-11-12.
Jerril Green's current location address is 14319 Saint Michael Dr, Little Rock, Arkansas. You can contact this provider via phone number 5015902885. The mailing address for Jerril Green is 14319 Saint Michael Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerril Green |
|---|---|
| Address | 14319 Saint Michael Dr, Little Rock, Arkansas |
| Phone Number | 5015902885 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457441016 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2014-11-12 |
Provider Mailing Address Detail
| Address | 14319 Saint Michael Dr |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722115572 |
| Phone Number | 5015902885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | E-1961 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135223001 | AR | -- |
Post Comment/ Review Below
What is the Jerril Green's unique identification number?
The Jerril Green has been assigned the NPI (National Provider Identifier) Number 1457441016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jerril Green is physically located?
The Jerril Green is physically situated at the following address: 14319 Saint Michael Dr, Little Rock, AR, 722115572.
What is Jerril Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerril Green is Pediatric Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0203X.
On what date did the Jerril Green receive its 1457441016 assignment from the Centers for Medicare & Medicaid Services?
The Jerril Green was assigned its 1457441016 by the Centers for Medicare & Medicaid Services on 2006-10-13.
When was the information regarding Jerril Green most recently updated?
The details pertaining to the Jerril Green, including its address, specialty, and other relevant information, were last refreshed on 2014-11-12.
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