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

Justin Jermaine Green, HAIRLOSSSPECIALIST

Individual provider Prosthetics Case Management · NPI 1770069684

Justin Jermaine Green, HAIRLOSSSPECIALIST is a Prosthetics Case Management in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018

Practice location Address checks out

4412 Elvis Presley Blvd
Memphis, TN 38116-6408
Phone: (901) 830-9256
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 126818 (TN)

Record details

NPI number1770069684
Entity typeIndividual (Type 1)
GenderMale
Credentials HAIRLOSSSPECIALIST
Sole proprietorYes
NPI enumeratedJuly 13, 2018
Last updated in NPPESJuly 13, 2018

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