Individual provider · Type 1 NPI
Jessie Lynne Green
Psychiatric/Mental Health Nurse Practitioner · Augusta, AR
NPI number
1427691641
Active
Practice location
1015 North First Street
Augusta, AR 72006
Fax (615) 334-0896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 120548 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1427691641
Jessie Lynne Green's National Provider Identifier is 1427691641, issued on Oct 21, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Augusta, AR. The record was last updated on Feb 17, 2026.