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MRS. JACQUELIN LONDON GREENE FNP-C
NPI 1124002035
Nurse Practitioner - Family in Lebanon, VA

Active since December 05, 2005
58 CARROLL ST, LEBANON, VA 24266(276) 883-8086(276) 883-8090 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacquelin London Greene Fnp-c NPPES

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

MRS. JACQUELIN LONDON GREENE FNP-C (NPI 1124002035) is an individual family provider in Lebanon, Virginia, licensed in Virginia (0024168638) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1124002035
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELIN LONDON GREENECredential: FNP-C
Location Address58 CARROLL STLebanon, VA 24266
Mailing Address58 Carroll StLebanon, VA 24266 · (276) 883-8086 · Fax (276) 883-8090
Phone(276) 883-8086
Fax(276) 883-8090
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1124002035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024168638✔ Licensed in TN · 14888
58 CARROLL ST, Lebanon, VA 24266
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Other Identifiers 5

MedicaidQ003735TN
Medicaid1124002035VA
Medicare UPINC09112VA
Medicare PINVV4693AVA
Other0024168638VA · Virginia License

Other Providers at the Same Location NPPES 11

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

BLUE RIDGE MEDICAL MANAGMENT CORPORATION
Internal Medicine
58 CARROLL ST, ROOM 2037
LEBANON, VA 24266
Russell County (276) 883-8062
MOUNTAIN STATES HEALTH ALLIANCE
Radiology (Diagnostic Radiology)
58 CARROLL ST
LEBANON, VA 24266
Russell County (276) 883-8101
SASHA MUSICK FNP-C
Nurse Practitioner (Family)
58 CARROLL ST, ROOM 2037
LEBANON, VA 24266
Russell County (276) 883-8062
JENNY M PRUITT PA
Physician Assistant (Medical)
58 CARROLL ST, ROOM 2037
LEBANON, VA 24266
Russell County (276) 883-8062
MOUNTAIN STATES HEALTH ALLIANCE
Psychiatric Unit
58 CARROLL ST
LEBANON, VA 24266
Russell County (276) 883-8000
DR. DAVID M MITCHELL MD PHD
Internal Medicine
58 CARROLL ST, ROOM 2037
LEBANON, VA 24266
Russell County (276) 883-8062
AMANDA HANSEN F.N.P.-C
Nurse Practitioner (Family)
58 CARROLL ST, ROOM 2037
LEBANON, VA 24266
Russell County (276) 883-8062
MOUNTAIN STATES HEALTH ALLIANCE
Medicare Defined Swing Bed Unit
58 CARROLL ST
LEBANON, VA 24266
Russell County (276) 883-8000

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 Jacquelin Greene's NPI number?

The NPI number for Jacquelin Greene is 1124002035. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Jacquelin Greene located?

Jacquelin Greene practices at 58 Carroll St, Lebanon, VA 24266. The listed phone number is (276) 883-8086.

What is Jacquelin Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacquelin Greene was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.