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 |
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Address | 1100 Loveland Blvd, Port Charlotte, Florida |
Phone Number | 9416247200 |
Fax Number | 9416247202 |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1205992450 |
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Provider Enumeration Date | 2006-12-29 |
Last Updated Date | 2013-08-26 |
Provider Mailing Address Detail
Address | 1100 Loveland Blvd |
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City | Port Charlotte |
State | Florida (FL) |
Post Code | 339801802 |
Phone Number | 9416247200 |
Fax Number | 9416247202 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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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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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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