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

Mrs. Jennifer Renee Green, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1649075359

Mrs. Jennifer Renee Green, AGNP-C is a Gerontology Nurse Practitioner in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

3886 Henderson Dr
Jacksonville, NC 28546-5219
Phone: (910) 989-2682
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 5021912 (NC)

Record details

NPI number1649075359
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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