MRS. JARRA L GREEN-CALDERON


Address: 9602 Antoine Forest Dr, San Antonio, TX 78254-5648
Phone: 8325600254

MRS. JARRA L GREEN-CALDERON (NPI# 1659516615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659516615
Entity Type Individual
Full Name MRS. JARRA L GREEN-CALDERON
Credential MSN, APRN, FNP-C
Practice Address 9602 Antoine Forest Dr
San Antonio
TX 78254-5648
Practice Telephone 8325600254
Mailing Telephone 8325600254
Enumeration Date 2008-12-04
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133N00000X Nutritionist 754909 TX Dietary & Nutritional Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP143451 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9602 ANTOINE FOREST DR
City SAN ANTONIO
State TX
Zip Code 78254-5648

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78254

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Dataset Information

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.

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