Jacob Green, FNP-C
Nurse Practitioner, Family in Mount Pleasant, TX. Individual provider (NPI-1).
NPI number1669921789
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1669921789
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob Green
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2016
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 718581 | TX | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 132269 | TX |
Practice location
2101 Mulberry AveMount Pleasant, TX 75455-1105
Phone 903-434-4850
Mailing address
2001 N Jefferson AveMount Pleasant, TX 75455-2338
Phone 903-577-6000
Other practice locations
2001 N Jefferson Ave Ste 100
Mount Pleasant, TX 75455-1104
Mount Pleasant, TX 75455-1104
Phone 903-577-6787 · Fax 903-434-8072
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