Provider Demographics
NPI:1770674517
Name:GREEN, JENNIFER BRIGITTE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BRIGITTE
Last Name:GREEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER/ DIV OF ENDOCRINOLOGY
Mailing Address - Street 2:DUMC BOX 3222, BAKER HOUSE ROOM 280
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-5568
Mailing Address - Fax:919-681-7796
Practice Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER/ DIV OF ENDOCRINOLOGY
Practice Address - Street 2:DUMC BOX 3222, BAKER HOUSE ROOM 280
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-5568
Practice Address - Fax:919-681-7796
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-10-12
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Provider Licenses
StateLicense IDTaxonomies
NC9600554207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG69883Medicare UPIN
NC2253424Medicare PIN