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QUETAICA GREEN FNP
NPI 1295664258
Nurse Practitioner - Family in Jacksonville, FL

Active since May 15, 2026
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7022 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quetaica Green Fnp NPPES

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

QUETAICA GREEN FNP (NPI 1295664258) is an individual family provider in Jacksonville, Florida, licensed in Florida (F04260149) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1295664258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameQUETAICA GREENCredential: FNP
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7022
Phone(904) 542-7022
Sole ProprietorYes
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1295664258 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 FL · F04260149
2080 CHILD ST, Jacksonville, FL 32214
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Quetaica Green's NPI number?

The NPI number for Quetaica Green is 1295664258. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Quetaica Green located?

Quetaica Green practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7022.

What is Quetaica 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 Quetaica Green was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.