IndividualActive
Jason Green, DNP
NPI 1285267583 · Primary Care Nurse Practitioner · Madisonville, LA
Provider details
- NPI number
- 1285267583
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 206364 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Ashland Way Ste 1
Madisonville, LA 70447-3357
Phone: (985) 871-5955
Approximate (ZIP-level) locationGet directions
Mailing address
101 Ashland Way Ste 1
Madisonville, LA 70447-3357
Registry dates
- Enumerated
- 2020-02-15
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.