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MR. JERRY LEE GREEN JR. FNP
NPI 1366449316
Nurse Practitioner - Family in Fort Leavenworth, KS

Active since July 06, 2005
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), FORT LEAVENWORTH, KS 66027(913) 684-6562(913) 684-6208 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Lee Green Jr. Fnp NPPES

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

MR. JERRY LEE GREEN JR. FNP (NPI 1366449316) is an individual family provider in Fort Leavenworth, Kansas, licensed in Kansas (45863) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1366449316
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JERRY LEE GREEN JR.Credential: FNP
Location Address550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)Fort Leavenworth, KS 66027-2332
Mailing Address6522 Hedge Lane Ter, Apt 206Shawnee, KS 66226-4872 · (360) 584-3952
Phone(913) 684-6562
Fax(913) 684-6208
Sole ProprietorNo
Enumeration DateJuly 6, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366449316 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 KS · 45863✔ Licensed in WA · AP30006651
550 POPE AVE, Fort Leavenworth, KS 66027
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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.

DANIEL M. HALE PA-C
Physician Assistant
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6000
NATHANIEL WHITTINGTON FOSTER DO
General Practice
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (619) 532-6400
MRS. LILLY ROSE JOHNSON LPN
Licensed Practical Nurse
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671
JOHN T FITZGERALD RPH
Pharmacist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTENTION MCXN CPD ,S CPTTPM
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ELBA M VILLACORTA RN, CNOR
Registered Nurse
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MR. DANIEL JOSEPH COLOMBO LSCSW
Social Worker (Clinical)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 271-2627
MRS. LISA JEAN HOVER P.T.
Physical Therapist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ANGELA FRANCES CLAUSER RN BSN
Registered Nurse (Ambulatory Care)
550 POPE AVE, MUNSON HEALTH CENTER
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671

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 Jerry Green's NPI number?

The NPI number for Jerry Green is 1366449316. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Jerry Green located?

Jerry Green practices at 550 Pope Ave Munson Army Health Center (attn: Mcxn-Cod, Ms. Cotton), Fort Leavenworth, KS 66027. The listed phone number is (913) 684-6562.

What is Jerry 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 Jerry Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.