Shanae Michele Green

NPI #1639043730 in Jamestown, North Carolina

Provider Information

NPI Number: 1639043730
Entity Type: Individual
Name: Shanae Michele Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 1, 2025
Last Updated: Oct 1, 2025

Practice Location

Address: 725 W MAIN ST STE B
City: Jamestown
State: North Carolina
ZIP Code: 27282-7507
Phone: (336) 252-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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