Jerry Lee Green in Fort Leavenworth - Family
Jerry Lee Green - NPI 1366449316
Jerry Lee Green is a Family in Fort Leavenworth, Kansas. Jerry Lee Green practices all healthcare services and medical treatments related to Family. The NPI Number for Jerry Lee Green is 1366449316. The last update date is 2007-07-08.
Jerry Lee Green's current location address is 550 Pope Ave, Fort Leavenworth, Kansas. You can contact this provider via phone number 9136846562 and fax number 9136846208. The mailing address for Jerry Lee Green is 550 Pope Ave, Fort Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Green |
|---|---|
| Address | 550 Pope Ave, Fort Leavenworth, Kansas |
| Phone Number | 9136846562 |
| Fax Number | 9136846208 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1366449316 |
|---|---|
| Provider Enumeration Date | 2005-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 Pope Ave |
|---|---|
| City | Fort Leavenworth |
| State | Kansas (KS) |
| Post Code | 6602723320 |
| Phone Number | 9136846562 |
| Fax Number | 9136846208 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30006651 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Lee Green by the Centers for Medicare & Medicaid Services?
The Jerry Lee Green has been assigned the NPI (National Provider Identifier) 1366449316 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Lee Green?
The Jerry Lee Green is situated at 550 Pope Ave, in the city of Fort Leavenworth, state of KS, with the zip code 6602723320.
What is Jerry Lee Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Lee Green's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did Jerry Lee Green receive its 1366449316 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Lee Green was assigned its 1366449316 on 2005-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jerry Lee Green most recently updated or revised?
The details related to Jerry Lee Green, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.