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JANNEL SHANICE GREEN
NPI 1790564094
Specialist in Brooklyn, NY

Active since September 26, 2023
1366 E 94TH ST, BROOKLYN, NY 11236(917) 485-8110 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jannel Shanice Green NPPES

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

JANNEL SHANICE GREEN (NPI 1790564094) is an individual specialist in Brooklyn, New York, licensed in New York (1732639232) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1790564094
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJANNEL SHANICE GREEN
Location Address1366 E 94TH STBrooklyn, NY 11236-4804
Mailing Address1366 E 94th StBrooklyn, NY 11236-4804 · (917) 485-8110
Phone(917) 485-8110
Sole ProprietorYes
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1790564094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1732639232
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.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 1732640232 (NY)
1366 E 94TH ST, Brooklyn, NY 11236
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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 Jannel Green's NPI number?

The NPI number for Jannel Green is 1790564094. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Jannel Green located?

Jannel Green practices at 1366 E 94th St, Brooklyn, NY 11236. The listed phone number is (917) 485-8110.

What is Jannel 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 Jannel Green was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.