OTIS GREEN III, ARNP

Nurse Practitioner - Family

Active Individual
NPI: 1629561451

Practice Address

1443 SAN MARCO BLVD STE 101
Jacksonville, FL 32207

Phone: (904) 253-6910

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 9344018 (FL)

Frequently Asked Questions

NPI 1629561451 is the National Provider Identifier for OTIS GREEN III, ARNP, a Nurse Practitioner - Family provider located in Jacksonville, FL. This NPI was enumerated on June 6, 2018.
OTIS GREEN III, ARNP practices at 1443 SAN MARCO BLVD STE 101, Jacksonville, FL 32207.

Quick Facts

NPI
1629561451
Type
Individual
Enumerated
Jun 6, 2018
Last Updated
Sep 19, 2025

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