MRS. JENNIFER RENEE GREEN AGNP-C
NPI 1649075359
Nurse Practitioner - Gerontology in Jacksonville, NC

Active since February 17, 2025
3886 HENDERSON DR, JACKSONVILLE, NC 28546(910) 989-2682 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Mrs. Jennifer Renee Green Agnp-c NPPES

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

MRS. JENNIFER RENEE GREEN AGNP-C (NPI 1649075359) is an individual gerontology provider in Jacksonville, North Carolina, licensed in North Carolina (5021912) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1649075359
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. JENNIFER RENEE GREENCredential: AGNP-C
Location Address3886 HENDERSON DRJacksonville, NC 28546-5219
Mailing Address105 N Wedgewood DrWashington, NC 27889-9231 · (817) 343-9027
Sole ProprietorYes
Enumeration DateFebruary 17, 2025
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1649075359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NC · 5021912
3886 HENDERSON DR, Jacksonville, NC 28546

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.

Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Counselor (Mental Health)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
3886 HENDERSON DR
JACKSONVILLE, NC 28546

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 1649075359. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Jennifer Green located?

Jennifer Green practices at 3886 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 989-2682.

What is Jennifer Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.