Jaclyn Green is a student in an organized health care education training program in Milwaukee, WI. The provider is 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. Jaclyn Green NPI is 1114650413. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1312 E OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53207-457
Phone: (414) 595-4570
The enumeration date for this NPI number is 7/5/2022 and was last updated on 7/5/2022.