Jean Caroll Green-Blair in Port Charlotte - Family

Jean Caroll Green-Blair - NPI 1205992450

Jean Caroll Green-Blair is a Family in Port Charlotte, Florida. Jean Caroll Green-Blair practices all healthcare services and medical treatments related to Family. The NPI Number for Jean Caroll Green-Blair is 1205992450. The last update date is 2013-08-26.

Jean Caroll Green-Blair's current location address is 1100 Loveland Blvd, Port Charlotte, Florida. You can contact this provider via phone number 9416247200 and fax number 9416247202. The mailing address for Jean Caroll Green-Blair is 1100 Loveland Blvd, Port Charlotte, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean Caroll Green-Blair
Address 1100 Loveland Blvd, Port Charlotte, Florida
Phone Number 9416247200
Fax Number 9416247202
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1205992450
Provider Enumeration Date 2006-12-29
Last Updated Date 2013-08-26

Provider Mailing Address Detail

Address 1100 Loveland Blvd
City Port Charlotte
State Florida (FL)
Post Code 339801802
Phone Number 9416247200
Fax Number 9416247202

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 3403762
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
306537500 FL --

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FAQs about Jean Caroll Green-Blair

What is the unique 10-digit identification code issued to Jean Caroll Green-Blair by the Centers for Medicare & Medicaid Services?

The Jean Caroll Green-Blair has been assigned the NPI (National Provider Identifier) 1205992450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Jean Caroll Green-Blair's physical address?

The Jean Caroll Green-Blair is physically located at 1100 Loveland Blvd, in the city of Port Charlotte, FL, with the postal code 339801802.

What is Jean Caroll Green-Blair's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jean Caroll Green-Blair is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Jean Caroll Green-Blair receive the assignment of its 1205992450 from the Centers for Medicare & Medicaid Services?

The Jean Caroll Green-Blair was issued its 1205992450 by the Centers for Medicare & Medicaid Services on 2006-12-29.

As of what date was the information regarding Jean Caroll Green-Blair, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jean Caroll Green-Blair, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-26.

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