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

Mrs. Barbara R. Green

Individual provider Gerontology Nurse Practitioner · NPI 1790306637

Mrs. Barbara R. Green is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

7451 103rd St Ste 8
Jacksonville, FL 32210-9300
Phone: (904) 683-4968
Fax: (904) 902-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7307 N Main St, Jacksonville, FL 32208-4123 — (904) 374-3311

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11006904 (FL)

Record details

NPI number1790306637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2020
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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