Individual provider · Type 1 NPI

Jenifer Lyn Green, CNP

Adult Health Nurse Practitioner · Traverse City, MI

NPI number 1619180064 Active

Practice location

1221 Sixth St Ste 300
Traverse City, MI 49684-2360

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XA0307202 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X4704299051 (MI)

Adult Health Nurse Practitioner: Definition to come...

34 other providers at this address

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About NPI 1619180064

Jenifer Lyn Green, CNP's National Provider Identifier is 1619180064, issued on May 8, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Traverse City, MI. The record was last updated on Dec 18, 2020.