MR. Jerry Lee Green JR., FNP
NPI #1366449316 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1366449316
- Entity Type
- Individual
- Name
- MR. Jerry Lee Green JR., FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 6, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 550 POPE AVE
- Address 2
- MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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