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

Jaylen Z Green, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891290599

Jaylen Z Green, MD is a Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19600 E Ross St
Tahlequah, OK 74464-0545
Phone: (539) 234-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 38136 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891290599
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address19600 E Ross St, Tahlequah, OK 74464-0545

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