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Contact Information

JODY L GREEN, RN
48 W 1500 N
NEPHI, UT84648
 Phone: 435-623-3000
 Fax: 435-623-3123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JODY L GREEN · (Female)

NPI # 1881926160
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/11/2010
Last updated 01/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 004749
  • UT License # 4877049-3102
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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