MRS. JESSICA NICHOLE GREENE (NPI# 1346628484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346628484 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA NICHOLE GREENE |
| Other Name | MS. JESSICA NICHOLE CLARK |
| Credential | D.O. |
| Practice Address |
405 W Grand Ave Medical Education Department Dayton OH 45405-4720 |
| Mailing Address |
233 Sgt Ed Holcomb Blvd S Conroe TX 77304-1990 |
| Practice Telephone | 9377233245 |
| Practice Fax Number | 9377235017 |
| Mailing Telephone | 9367568331 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
S1110 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 233 Sgt Ed Holcomb Blvd S, Conroe, TX 773041990 | 9367568331 | |
| 5901 Long Dr, Houston, TX 770871003 | 7139707000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579388 | Jessica Greene | Technician | 900 Varney St Se Apt 207, Washington, DC 20032-4315 | 2019-10-10 |
| 1952743528 | Jessica Michelle Greene | Naturopath | 928 Fort Stockton Dr Ste 213, San Diego, CA 92103-1890 | 2013-07-24 |
| 1962682401 | Jessica Greene | Physical Therapy Assistant | 926 La Chere St, Beaufort, SC 29902-4010 | 2007-11-13 |
| 1235696774 | Jessica Yvonne Greene | Counselor | 630 Chestnut Rd, Myrtle Beach, SC 29572-5502 | 2019-02-20 |
| 1083067490 | Jessica Greene | Optometrist | 800 N Main St, Elk City, OK 73644-3414 | 2016-07-20 |
| 1548614191 | Jessica L Greene | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-04-20 |
| 1568863959 | Jessica E. Greene | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2014-09-04 |
| 1285049338 | Jessica Michelle Greene | Pharmacist | 2606 Carolina Beach Rd, Wilmington, NC 28412-1806 | 2014-06-27 |
| 1447538012 | Jessica Greene | Developmental Therapist | 2708 Ne 14th St. Suite 5, Pompano Beach, FL 33062-3564 | 2011-07-29 |
| 1841439031 | Jessica Erin Greene | Dietitian, Registered | 13000 Bruce B Downs Blvd, Tampa, FL 33612 | 2009-02-11 |
| Street Address |
405 W GRAND AVE MEDICAL EDUCATION DEPARTMENT |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767758 | Edward Ewing | Pathology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2005-06-01 |
| 1316559065 | Ashton Vandyke | Pharmacist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-23 |
| 1740892132 | Garrett Thomason | Registered Nurse | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-18 |
| 1558971291 | Kaitlyn Copeland | Nurse Practitioner | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-07 |
| 1093335176 | Ashley Nicole Howell | Surgery | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-20 |
| 1669091310 | Jody Marie Anderson | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-13 |
| 1326677501 | Andrea Lynn Forray | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-08 |
| 1275162893 | Kelsey Quin | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-06 |
| 1790314417 | Tsedey Biru Juka | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-04 |
| 1962031716 | Pratik Wagle | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
| Find all providers in zip 45405 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406697 | New Life Ketamine Clinic LLC | Psychiatry & Neurology | 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459-3856 | 2019-09-19 |
| 1558896100 | Elizabeth Schindler | Psychiatry & Neurology | 301 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2017-04-20 |
| 1538579768 | Kari Sharyce Harper | Psychiatry & Neurology | Wright State University 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2014-04-28 |
| 1629415443 | Musammar Ghani | Psychiatry & Neurology | Wsu, Dept of Psychiatry, 627 Edwin C. Moses Boulevard, Elizabeth Place, E. Medical Plaza, 1st Floor, Dayton, OH 45417 | 2013-06-03 |
| 1316293277 | John Robert Weiffenbach | Psychiatry & Neurology | 1 Wyoming St Ste 3115, Dayton, OH 45409-2722 | 2012-07-30 |
| 1528325933 | James Gibson Pennington | Psychiatry & Neurology | 1800 Van Patton Dr, Dayton, OH 45433-5335 | 2012-04-23 |
| 1134459878 | Theresa Bernadette Belen | Psychiatry & Neurology | 627 S. Edwin C. Moses Blvd., Wsusom Department of Psychiatry, Dayton, OH 45417-1461 | 2009-12-31 |
| 1184871782 | Aradhana Gill | Psychiatry & Neurology | 1020 Wild Hickory Ln, Dayton, OH 45458-6092 | 2008-08-26 |
| 1376714675 | Ryan Christopher Mast | Psychiatry & Neurology | 627 South Edwin C. Moses Blvd, Dayton, OH 45408-1461 | 2008-03-14 |
| 1417148784 | Braumiller Psychiatric Associates, Inc. | Psychiatry & Neurology | 143 Valentine Dr, Dayton, OH 45431-1923 | 2007-08-02 |
| Find all providers in DAYTON | ||||
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| 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.