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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA BETH GREEN
NPI 1790694503
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since September 05, 2026
202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604(423) 439-7371 Get Directions Write a Review

NPPES record added: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jessica Beth Green NPPES

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

JESSICA BETH GREEN (NPI 1790694503) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1790694503
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJESSICA BETH GREEN
Location Address202 W FAIRVIEW AVEJohnson City, TN 37604-5611
Mailing Address202 W Fairview AveJohnson City, TN 37604-5611 · (423) 439-7371
Phone(423) 439-7371
Sole ProprietorNo
Enumeration DateSeptember 5, 2026
NPPES CertifiedSeptember 5, 2026
✔ NPI 1790694503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
202 W FAIRVIEW AVE, Johnson City, TN 37604
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Other Providers at the Same Location NPPES 7

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

EAST TENNESSEE STATE UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 434-0894
MRS. LAURA JESSICA TEMPLETON NP-C
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MS. CHRISTINA L DZIOBA FNP, WHNP-BC, C-EFM
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MRS. AMANDA S MOORHOUSE APN
Nurse Practitioner (Family)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MS. JANICE LYNN LAZEAR CRNP
Nurse Practitioner
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-4225
JENNIFER LYN WHITEHEAD LMSW
Social Worker
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371
MEREDITH MCCOOK PROSAK LCSW
Social Worker (Clinical)
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604
Washington County (423) 439-7371

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 Jessica Green's NPI number?

The NPI number for Jessica Green is 1790694503. It was assigned to this individual provider in the NPPES registry on September 5, 2026.

Where is Jessica Green located?

Jessica Green practices at 202 W Fairview Ave, Johnson City, TN 37604. The listed phone number is (423) 439-7371.

What is Jessica Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Green was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.