MR. JERRY GREEN JR., FNP
Nurse Practitioner - Family
Active
Individual
NPI: 1366449316
Practice Address
550 POPE AVEMUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
Fort Leavenworth, KS 66027
Phone: (913) 684-6562
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 45863 (KS) |
Frequently Asked Questions
NPI 1366449316 is the National Provider Identifier for MR. JERRY GREEN JR., FNP, a Nurse Practitioner - Family provider located in Fort Leavenworth, KS. This NPI was enumerated on July 6, 2005.
MR. JERRY GREEN JR., FNP practices at 550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), Fort Leavenworth, KS 66027.
Quick Facts
- NPI
- 1366449316
- Type
- Individual
- Enumerated
- Jul 6, 2005
- Last Updated
- Jul 8, 2007
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