Individual provider · Type 1 NPI

Jessica Beth Green

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1790694503 Active

Practice location

202 W Fairview Ave
Johnson City, TN 37604-5611

Call (423) 439-7371 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790694503

Jessica Beth Green's National Provider Identifier is 1790694503, issued on Sep 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 5, 2026.