Jeffrey Green

NPI #1013645811 in Morgantown, West Virginia

Provider Information

NPI Number
1013645811
Entity Type
Individual
Name
Jeffrey Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 10, 2022
Last Updated
Aug 10, 2022

Practice Location

Address
1111 VAN VOORHIS RD STE 2
ZIP Code
26505-2737
Phone
(304) 598-8900

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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