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

Janiel J Green, PA-C

Individual provider Medical Physician Assistant · NPI 1114297660

Janiel J Green, PA-C is a Medical Physician Assistant in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

36 Professional Plz Ste #102
Rexburg, ID 83440-2049
Phone: (208) 356-0234
Fax: (208) 656-8444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-957 (ID)

Record details

NPI number1114297660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2011
Last updated in NPPESDecember 30, 2011

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