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JONATHAN GREGORY GREEN FNP
NPI 1164153227
Nurse Practitioner - Family in Spartanburg, SC

Active since June 20, 2022
1701 SKYLYN DR, SPARTANBURG, SC 29307(864) 393-3909(864) 302-8433 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan Gregory Green Fnp NPPES

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

JONATHAN GREGORY GREEN FNP (NPI 1164153227) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (25841) and active in the NPI registry since June 2022. He maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1164153227
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN GREGORY GREENCredential: FNP
Location Address1701 SKYLYN DRSpartanburg, SC 29307-1096
Mailing Address110 Audrey DrSpartanburg, SC 29307-1500 · (864) 279-3630
Phone(864) 393-3909
Fax(864) 302-8433
Sole ProprietorNo
Enumeration DateJune 20, 2022
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1164153227 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
License✔ Licensed in SC · 25841
1701 SKYLYN DR, Spartanburg, SC 29307
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Secondary Practice Location 1

Location 1162 N Dean StSpartanburg, SC 29302-1517 · Phone (864) 542-2273

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 Jonathan Green's NPI number?

The NPI number for Jonathan Green is 1164153227. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Jonathan Green located?

Jonathan Green practices at 1701 Skylyn Dr, Spartanburg, SC 29307. The listed phone number is (864) 393-3909.

What is Jonathan Green'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 Jonathan Green was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.