Individual provider · Type 1 NPI
John Wesley Green, RN
General Practice Registered Nurse · Antioch, CA
NPI number
1568966471
Active
Practice location
1915 D St
Antioch, CA 94509-2571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 520763 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1568966471
John Wesley Green, RN's National Provider Identifier is 1568966471, issued on Mar 23, 2018. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Antioch, CA. The record was last updated on Mar 23, 2018.