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JAUCLYN RENEE GREEN NP
NPI 1063068062
Nurse Practitioner in Fairmont, MN

Active since August 15, 2019
800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8100 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2020, Sep 18, 2020, Sep 3, 2019 and 1 more (4 updates tracked since 2019).

About Jauclyn Renee Green Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAUCLYN RENEE GREEN NP (NPI 1063068062) is an individual nurse practitioner in Fairmont, Minnesota, licensed in Minnesota (6876) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1063068062
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJAUCLYN RENEE GREENCredential: NP
Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575
Mailing Address2884 Simmons RdDrummonds, TN 38023-4958 · (901) 230-0489
Phone(507) 238-8100
Sole ProprietorNo
Enumeration DateAugust 15, 2019
Last NPPES UpdateNovember 11, 20204 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1063068062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · 6876✔ Licensed in TN · 25205
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
800 MEDICAL CENTER DR, Fairmont, MN 56031
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID KRUSEMARK CRNA
Nurse Anesthetist, Certified Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
MS. MICHELLE LARAE GEERDES OTR/L
Occupational Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196
ANNE SHEPPARD RD
Dietitian, Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
APRIL E POOLMAN FNP-C
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
DR. LUKE MATTHEW MADSEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
Non-Pharmacy Dispensing Site
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8168
DR. CATHERINE G JOHNSON DPT
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196
JAE ECCHER DPT
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jauclyn Green's NPI number?

The NPI number for Jauclyn Green is 1063068062. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Jauclyn Green located?

Jauclyn Green practices at 800 Medical Center Dr, Fairmont, MN 56031. The listed phone number is (507) 238-8100.

What is Jauclyn Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jauclyn Green was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.