Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Green

Individual provider Specialist · NPI 1568866648

Jacqueline Green is a Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
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Practice location Address checks out

4117 NW 122nd St Ste C
Oklahoma City, OK 73120-8878
Phone: (405) 401-8136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OCC-03720 (OK)

Record details

NPI number1568866648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 17, 2014
Mailing address600 Old Home Pl, Yukon, OK 73099-9716

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