Individual provider · Type 1 NPI
Jivonne Nikell Prioleau-Green, HS
Independent Duty Corpsman · Philadelphia, PA
Practice location
1 Washington Ave
Philadelphia, PA 19147-4335
Fax (215) 271-4817
Mailing address
7900A Stenton Ave Apt 104
Philadelphia, PA 19118-3027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1063547966
Jivonne Nikell Prioleau-Green, HS's National Provider Identifier is 1063547966, issued on Feb 22, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.