Individual provider · Type 1 NPI

Jacquelin London Greene, FNP-C

Family Nurse Practitioner · Lebanon, VA

NPI number 1124002035 Active

Practice location

58 Carroll St
Lebanon, VA 24266

Fax (276) 883-8090

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024168638 (VA)
Family Nurse Practitioner 363LF0000X14888 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1124002035

Jacquelin London Greene, FNP-C's National Provider Identifier is 1124002035, issued on Dec 5, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lebanon, VA. The record was last updated on Feb 7, 2017.