JACQUELINE PRISCILLA GREEN (NPI# 1306348487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306348487 |
| Entity Type | Individual |
| Full Name | JACQUELINE PRISCILLA GREEN |
| Credential | CRNP |
| Practice Address |
717 Pratt Ave Ne Huntsville AL 35801-3645 |
| Mailing Address |
100 Elko Jct Madison AL 35758-3628 |
| Practice Telephone | 2568082273 |
| Practice Fax Number | 2568082274 |
| Mailing Telephone | 8647065829 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-158039 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL NP LICENSE NUMBER | 1-158039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386189728 | Jacqueline Green | Occupational Therapist | 4703 W Braddock Rd Apt 30, Alexandria, VA 22311-4706 | 2016-12-20 |
| 1598116204 | Jacqueline Green | Technician, Other | 221 Flowerdale St, Ferndale, MI 48220-1875 | 2016-06-23 |
| 1912230798 | Jacqueline Marie Green | Specialist | 37 Sandpiper Cir, Ormond Beach, FL 32174-6042 | 2009-09-11 |
| 1508401688 | Jacqueline Green | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| 1962980094 | Jacqueline Green | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-31 |
| 1659732642 | Jacqueline Green | Specialist | 1599 State St, Salem, OR 97301-4255 | 2016-03-17 |
| 1568866648 | Jacqueline Green | Specialist | 4117 Nw 122nd St Ste C, Oklahoma City, OK 73120-8878 | 2014-10-17 |
| 1871937193 | Jacqueline M Green | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2013-04-18 |
| 1578816138 | Jacqueline Marie Green | Clinical Nurse Specialist | 125 Paterson St, Clinical Academic Building Suite 6176, New Brunswick, NJ 08901-1962 | 2012-10-19 |
| 1477831758 | Jacqueline Green | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2011-08-03 |
| Street Address |
717 PRATT AVE NE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723128 | Propst Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2006-01-03 |
| 1265965651 | Al Care First Inc | Clinic/Center | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2017-04-04 |
| 1760833214 | Michael Anthony Oddo | Pharmacist | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2016-06-27 |
| 1386089118 | Shelia Dianne Clopp | Nurse Practitioner | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2013-05-07 |
| 1104169176 | Lora Shuey Abernathy | Nurse Practitioner | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2013-03-28 |
| 1689985632 | Ernest Sheppard Campbell | General Practice | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2010-06-24 |
| 1437479789 | Quickcare Clinic LLC | Clinic/Center | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2010-06-09 |
| 1356540728 | Expressclinic, Inc | Family Medicine | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2007-07-16 |
| 1568526614 | Gary Boggus | Pharmacist | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2006-12-21 |
| 1255310363 | Charles Ivy Lee | Anesthesiology | 717 Pratt Ave Ne, Huntsville, AL 35801-3645 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1881211647 | Ciara Whitt | Nurse Practitioner | 26 Maple Grove Blvd Sw, Huntsville, AL 35824-4005 | 2020-06-28 |
| 1275158289 | Lynda Jean Masco | Nurse Practitioner | 807 Tannahill Dr Se, Huntsville, AL 35802-1935 | 2020-06-15 |
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1497387229 | Mary Anne Tessitore | Nurse Practitioner | 193 Interstate 45 S, Huntsville, TX 77340-4256 | 2020-02-10 |
| 1790324424 | Ashley Froscello I | Nurse Practitioner | 610 Airport Rd Sw # 210, Huntsville, AL 35802-4304 | 2019-12-28 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on JACQUELINE PRISCILLA GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.