JENNIFER D GREEN CST
NPI 1124156922
Physician Assistant - Surgical in Baytown, TX

Active since March 01, 2007
2635 BAKER RD., BAYTOWN, TX 77521(281) 837-8550(281) 837-8709 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer D Green Cst NPPES

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

JENNIFER D GREEN CST (NPI 1124156922) is an individual surgical provider in Baytown, Texas, licensed in Texas (102511) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124156922
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER D GREENCredential: CST
Location Address2635 BAKER RD.Baytown, TX 77521
Mailing Address7401 S. MainHouston, TX 77030 · (713) 799-2300 · Fax (713) 794-3395
Fax(281) 837-8709
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateMay 11, 2012
NPI 1124156922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · 102511
2635 BAKER RD., Baytown, TX 77521

Other Names 1

Former Name (1)Jennifer D Moore

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 Jennifer Green's NPI number?

The NPI number for Jennifer Green is 1124156922. It was assigned to this individual provider in the NPPES registry on March 1, 2007. The provider is also known as Jennifer D Moore.

Where is Jennifer Green located?

Jennifer Green practices at 2635 Baker Rd., Baytown, TX 77521. The listed phone number is (281) 837-8550.

What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.