JUSTIN JERMAINE GREEN (NPI# 1770069684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770069684 |
| Entity Type | Individual |
| Full Name | JUSTIN JERMAINE GREEN |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
4412 Elvis Presley Blvd Memphis TN 38116-6408 |
| Mailing Address |
436 Clarice Dr Memphis TN 38109-4626 |
| Practice Telephone | 9018309256 |
| Mailing Telephone | 9018309256 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
126818 | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138762 | Justin Green | Doula | 1435 N Dearborn St Apt 4a, Chicago, IL 60610-1562 | 2020-09-10 |
| 1427467141 | Justin Green | Registered Nurse | 1241 5th Ave, Stevens Point, WI 54481-1726 | 2014-08-06 |
| 1881613503 | Justin O Green | Counselor | #4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2006-07-19 |
| 1124027644 | Justin B. Green | Podiatrist | 2309 E Main St, Suite 201, New Iberia, LA 70560-4046 | 2005-07-18 |
| 1093312142 | Justin Taylor Green | Student in an Organized Health Care Education/Training Program | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-10-01 |
| 1750874210 | Justin A Green | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-06-10 |
| 1225582760 | Justin Tyler Green | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2016-08-13 |
| 1639525884 | Justin M Green | Family Medicine | 3950 E Robinson Rd Ste 207, W Amherst, NY 14228-2044 | 2016-05-06 |
| 1326431644 | Justin Green | Physician Assistant | 308 Dolphin Dr, Jacksonville, NC 28546-5266 | 2015-03-11 |
| 1992089312 | Justin Lee Green | Chiropractor | 1185 W County Line Rd, Greenwood, IN 46142-5156 | 2011-10-04 |
| Street Address |
4412 ELVIS PRESLEY BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982215778 | Bontaya Calvin | Specialist | 4305 Harvest Hill Rd, Memphis, TN 38141-6933 | 2020-08-14 |
| 1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1972016590 | Stacy Jehan Owens | Specialist | 7505 Us Highway 64 Ste 105, Memphis, TN 38133-8939 | 2017-11-06 |
| 1558800623 | Roshotta Beane | Specialist | 375 N Highland St Apt 2, Memphis, TN 38122-4513 | 2017-02-22 |
| 1588108252 | Stephania Jones | Specialist | 7505 Us Highway 64, Suite 105, Memphis, TN 38133-8947 | 2016-12-14 |
| 1336503721 | Ursula Logan | Specialist | 3564 Hickory Hill Rd, Memphis, TN 38115-3827 | 2016-04-12 |
| Find all providers in MEMPHIS | ||||
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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.