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Contact Information

JASON A GREEN, DNP
101 ASHLAND WAY STE 1
MADISONVILLE, LA70447-3357
 Phone: 985-871-5955
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JASON A GREEN · (Male)

NPI Number 1285267583
Status Active
Credentials DNP
Entity Individual
Enumeration date 02/15/2020
Last updated 10/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 206364
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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