| Mrs Jacquelin London Greene, FNP-C | |
|
58 Carroll St, Lebanon, VA 24266 | |
| (276) 883-8086 | |
| (276) 883-8090 |
| Full Name | Mrs Jacquelin London Greene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 58 Carroll St, Lebanon, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124002035 | NPI | - | NPPES |
| 1124002035 | Medicaid | VA | |
| 0024168638 | Other | VA | VIRGINIA LICENSE |
| Q003735 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024168638 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 14888 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacquelin London Greene, FNP-C 58 Carroll St, Lebanon, VA 24266 Ph: (276) 883-8086 | Mrs Jacquelin London Greene, FNP-C 58 Carroll St, Lebanon, VA 24266 Ph: (276) 883-8086 |
Kimberly Michelle Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266 Phone: 276-596-0608 | |
Mrs. Kathy Jo Justus, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Amanda Elizabeth Horner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 | |
Kelly E Harness, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266 Phone: 276-883-5900 | |
Nancy Sue Blevins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Rogers Street, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7621 | |
Kelly Mcdaniel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 Rolling Meadows Rd, Lebanon, VA 24266 Phone: 276-608-4114 |