JACQUELINE GREEN
NPI 1568866648
Specialist in Oklahoma City, OK

Q: What is Jacqueline Green's NPI number?

The NPI number for Jacqueline Green is 1568866648. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Q: What is Jacqueline Green's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Green was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 17, 2014

4117 NW 122ND ST STE C, OKLAHOMA CITY, OK 73120(405) 401-8136 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Green NPPES

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

JACQUELINE GREEN (NPI 1568866648) is an individual specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (OCC-03720) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1568866648

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJACQUELINE GREEN

Location Address4117 NW 122ND ST STE COklahoma City, OK 73120-8878

Mailing Address600 Old Home PlYukon, OK 73099-9716 · (405) 401-8136

Phone(405) 401-8136

Sole ProprietorYes

Enumeration DateOctober 17, 2014

✔ NPI 1568866648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · OCC-03720

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4117 NW 122ND ST STE C, Oklahoma City, OK 73120

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Other Providers at the Same Location NPPES 2

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

DR. RAFAEL JUSTIZ III M.D.

Anesthesiology (Pain Medicine)

4117 NW 122ND ST STE C
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 463-3380

LOGAN W HAYES PA-C

Physician Assistant (Medical)

4117 NW 122ND ST STE C
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 463-3380

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 Jacqueline Green's NPI number?

The NPI number for Jacqueline Green is 1568866648. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Jacqueline Green located?

Jacqueline Green practices at 4117 NW 122nd St Ste C, Oklahoma City, OK 73120. The listed phone number is (405) 401-8136.

What is Jacqueline Green's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Green was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.