Most Relevant Information
Provider Data
| NPI Number: | 1003509951 |
| Provider Name: | JENNIFER ANN GREEN FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 291766 |
Most Important Dates
| Enumeration Date: | 05/29/2023 |
| Last Updated: | 05/29/2023 |
Provider Practice Location
3887 S SOHO LN
CHANDLER
AZ
852862669
Practice Location Phone/Fax
| Phone: | 6023276641 |
| Fax: |
Provider Mailing Location
3887 S SOHO LN
CHANDLER
AZ
852862669
Provider Mailing Phone/Fax
| Phone: | 6023276641 |
| Fax: |