Individual provider · Type 1 NPI

Jalen Greene

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1093501173 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Mailing address

3692 River Valley Dr
Newcastle, OK 73065-4072

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093501173

Jalen Greene's National Provider Identifier is 1093501173, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Apr 16, 2025.