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Jean Green

Registered Nurse, Medical-Surgical in Ocilla, GA. Individual provider (NPI-1).

NPI number1114337359
StatusActive
Last updated in NPPESApr 28, 2014

Details

NPI
1114337359
Entity type
Individual (NPI-1)
Name
Jean Green
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 28, 2014
Last updated
Apr 28, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WM0705X Registered Nurse, Medical-SurgicalRN174038GAYes

Practice location

232 Crepe Myrtle Cir
Ocilla, GA 31774-3348

Phone 229-325-6068

Mailing address

232 Crepe Myrtle Cir
Ocilla, GA 31774-3348

Phone 229-325-6068

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