Individual provider · Type 1 NPI

Jennifer Brooke Green, NP

Adult Health Nurse Practitioner · Dalton, GA

NPI number 1861623308 Active

Practice location

475 Reed Rd Ste 104
Dalton, GA 30720-6310

Fax (706) 272-6445

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPRN-NP115738 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1861623308

Jennifer Brooke Green, NP's National Provider Identifier is 1861623308, issued on Jul 31, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dalton, GA. The record was last updated on Nov 4, 2025.