Individual provider · Type 1 NPI

Jennifer Renee Green, AGNP-C

Gerontology Nurse Practitioner · Jacksonville, NC

NPI number 1649075359 Active

Practice location

3886 Henderson Dr
Jacksonville, NC 28546-5219

Mailing address

105 N Wedgewood Dr
Washington, NC 27889-9231

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X5021912 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1649075359

Jennifer Renee Green, AGNP-C's National Provider Identifier is 1649075359, issued on Feb 17, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jacksonville, NC. The record was last updated on Apr 21, 2025.