Provider Demographics
NPI:1023173523
Name:GREEN, JEANNE W (CRNP)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:W
Last Name:GREEN
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:5150 CENTRE AVE
Mailing Address - Street 2:ROOM 456
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1309
Mailing Address - Country:US
Mailing Address - Phone:412-235-1155
Mailing Address - Fax:412-648-6985
Practice Address - Street 1:400 OXFORD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2351
Practice Address - Country:US
Practice Address - Phone:412-374-1441
Practice Address - Fax:412-374-1441
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2013-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP009280363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily