Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline A Green, CHW, CHWC

Individual provider Health & Wellness Coach · NPI 1790659886

Jacqueline A Green, CHW, CHWC is a Health & Wellness Coach in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

5727 Gaston Ave Apt 101
Dallas, TX 75214-4665
Phone: (972) 571-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 9166 (TX)
Health & Wellness Coach Taxonomy 171400000X · Licence 277368 (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X (TX)
Health Educator Taxonomy 174H00000X (TX)

Record details

NPI number1790659886
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW , CHWC
Sole proprietorYes
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

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