Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jivonne Nikell Prioleau-Green, HS

Individual provider Independent Duty Corpsman · NPI 1063547966

MS. Jivonne Nikell Prioleau-Green, HS is an Independent Duty Corpsman in Philadelphia, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

1 Washington Ave
Philadelphia, PA 19147-4335
Phone: (215) 271-4816
Fax: (215) 271-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1063547966
Entity typeIndividual (Type 1)
GenderFemale
Credentials HS
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 8, 2007

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