JESSICA JASMINE GREEN (NPI# 1639628407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628407 |
| Entity Type | Individual |
| Full Name | JESSICA JASMINE GREEN |
| Credential | PNP |
| Practice Address |
4687 Poucey Tract Road Glen Allen VA 23059 |
| Practice Telephone | 8044225437 |
| Mailing Telephone | 7576045446 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024173970 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108670 | Jessica J Green | Speech-Language Pathologist | 3021 Hickory St, Saint Louis, MO 63104-1818 | 2017-08-01 |
| 1972976223 | Jessica Green | Dietitian, Registered | 1424 Freshwater Ct, Wake Forest, NC 27587-6262 | 2015-11-09 |
| 1215352901 | Jessica Green | Obstetrics & Gynecology | 2700 Sorority Ln, Holt, MI 48842-8744 | 2014-03-04 |
| 1336487818 | Jessica Marie Green | Massage Therapist | 236 Wayne St, Sandusky, OH 44870-2637 | 2013-01-17 |
| 1073861571 | Jessica Erin Green | Pharmacist | 969 Miles Rd, Lufkin, TX 75901-2119 | 2012-08-15 |
| 1114247590 | Jessica M Green | Counselor | 301 Robb St, Summit, MS 39666-7053 | 2010-06-08 |
| 1669610069 | Jessica Green | Speech-Language Pathologist | 6161 S 33rd West Ave Ste 105, Tulsa, OK 74132-1502 | 2009-01-23 |
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| 1821283078 | Jessica Green | Student in an Organized Health Care Education/Training Program | 5124 Sw View Point Ter, Portland, OR 97239-3908 | 2007-09-11 |
| 1578604773 | Jessica Nell Green | Pediatrics | 8402 Harcourt Rd Ste 105, Indianapolis, IN 46260-2006 | 2007-02-09 |
| Street Address |
4687 POUCEY TRACT ROAD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| 1063567220 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10101 Brook Rd Ste 852, Glen Allen, VA 23059 | 2007-01-25 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275850612 | Amy Katherine Foy | Nurse Practitioner | 5207 Hickory Park Dr Ste C, Glen Allen, VA 23059-2624 | 2010-04-26 |
| 1063505808 | Susan H. Myzer | Nurse Practitioner | 4686 Pouncey Tract Road, Glen Allen, VA 23059 | 2006-10-02 |
| 1982233136 | Nicole Ashlee Smith | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2020-04-08 |
| 1558911263 | Abigail Myree Schwartz | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2019-09-14 |
| 1174039358 | Rebecca Lynn Mcnicol | Nurse Practitioner | 10571 Telegraph Rd Ste 110, Glen Allen, VA 23059-4652 | 2017-12-25 |
| 1881106037 | Sarah Seiberling Fulton Barr | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2017-10-27 |
| 1821532359 | Erin Marie Johnson | Nurse Practitioner | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2016-12-19 |
| 1184092389 | Tiffany Batterton | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2015-09-04 |
| 1730580085 | Ann Lewis Shields | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2014-09-05 |
| 1972848992 | Joanna Lee Martinette | Nurse Practitioner | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2012-12-03 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
Please comment or provide details below to improve the information on JESSICA JASMINE 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.