MILDRED GREEN
NPI 1932574423
Licensed Practical Nurse in Jamaica, NY

Active since December 09, 2015
13976 85TH DR, JAMAICA, NY 11435(410) 905-2580 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About MILDRED GREEN

This page provides the complete NPI Profile along with additional information for Mildred Green, a provider established in Jamaica, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1932574423 assigned on December 2015. The practitioner's primary taxonomy code is 164W00000X with license number 303034 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1932574423 Verify this NPI
Provider Name
MILDRED GREEN
Gender
Female
Entity Type
Individual
Location Address
13976 85TH DR JAMAICA, NY 11435
Location Phone
(410) 905-2580
Mailing Address
13976 85TH DR JAMAICA, NY 11435
Is Sole Proprietor?
No
Enumeration Date
12-09-2015
Last Update Date
12-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
303034
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
13976 85TH DR
BRIARWOOD, NY 11435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932574423, enumerated as an "individual" on December 09, 2015.

The provider is located at 13976 85TH DR JAMAICA, NY 11435 and the phone number is (410) 905-2580.

Licensed Practical Nurse with taxonomy code 164W00000X.