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MRS. PAMELA KELLAM GREEN
NPI 1730716648
Home Health in Jacksonville, FL

Active since March 23, 2020
6986 JACK HORNER LN, JACKSONVILLE, FL 32210(904) 710-9662(904) 586-2473 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Pamela Kellam Green NPPES

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

MRS. PAMELA KELLAM GREEN (NPI 1730716648) is an individual home health provider in Jacksonville, Florida, licensed in Florida (688784896) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1730716648
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMRS. PAMELA KELLAM GREEN
Location Address6986 JACK HORNER LNJacksonville, FL 32210-3620
Mailing Address4575 St. Johns Avenue, Suite # 4Jacksonville, FL 32210 · (904) 710-9662 · Fax (904) 586-2473
Phone(904) 710-9662
Fax(904) 586-2473
Sole ProprietorYes
Enumeration DateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1730716648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in FL · 688784896
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
6986 JACK HORNER LN, Jacksonville, FL 32210
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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 Pamela Green's NPI number?

The NPI number for Pamela Green is 1730716648. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Pamela Green located?

Pamela Green practices at 6986 Jack Horner Ln, Jacksonville, FL 32210. The listed phone number is (904) 710-9662.

What is Pamela Green's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Pamela Green was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.