1275545097 NPI number — NANCY NUNN GREEN AUD

Table of content: NANCY NUNN GREEN AUD (NPI 1275545097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275545097 NPI number — NANCY NUNN GREEN AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREEN
Provider First Name:
NANCY
Provider Middle Name:
NUNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NUNN
Provider Other First Name:
NANCY
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275545097
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 24536
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32241-4536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-880-1710
Provider Business Mailing Address Fax Number:
904-880-1711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10923 PERCHERDON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-880-1710
Provider Business Practice Location Address Fax Number:
904-880-1711
Provider Enumeration Date:
08/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AY132 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)