NPI
Jacqueline Green
NPI 1598116204
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MA
- Type
- Individual
- Enumeration date
- 2016-06-23
- Last updated
- 2024-10-09
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Specialties
Licenses
- License MI
- 6361007978
Location
- Practice location
- 30821 Barrington St
- City
- Madison Heights MI
- Postal code
- 48071-1871
- Phone
- (248) 965-3916
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Madison Heights, MI. 1,085 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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