Individual provider · Type 1 NPI

Jauclyn Renee Green, NP

Nurse Practitioner · Fairmont, MN

NPI number 1063068062 Active

Practice location

800 Medical Center Dr
Fairmont, MN 56031-4575

Mailing address

2884 Simmons Rd
Drummonds, TN 38023-4958

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X25205 (TN)
Nurse Practitioner Primary 363L00000X6876 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063068062

Jauclyn Renee Green, NP's National Provider Identifier is 1063068062, issued on Aug 15, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairmont, MN. The record was last updated on Nov 11, 2020.