Jessica Green, RD | |
1424 Freshwater Ct, Wake Forest, NC 27587-6262 | |
(919) 332-3722 | |
Not Available |
Full Name | Jessica Green |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1424 Freshwater Ct, Wake Forest, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972976223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L002312 (North Carolina) | Primary |
Provider Name | Duke University Health System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
Mailing Address | Practice Location Address |
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Jessica Green, RD 1424 Freshwater Ct, Wake Forest, NC 27587-6262 Ph: (919) 332-3722 | Jessica Green, RD 1424 Freshwater Ct, Wake Forest, NC 27587-6262 Ph: (919) 332-3722 |
Angela Beebe, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1412 Basley St, Wake Forest, NC 27587 Phone: 919-830-7405 | |
Mrs. Monica Kyung-mi Gomez, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8532 Battery Crest Ln, Wake Forest, NC 27587 Phone: 725-248-8383 | |
Rizza Magbuhat Edradan, CSR, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 337 Rivella Dr, Wake Forest, NC 27587 Phone: 415-867-4422 | |
Shana Vaughan Bare, RD LDN CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12720 Garffe Sherron Rd, Wake Forest, NC 27587 Phone: 919-556-3189 | |
Viktoria Reed, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1604 Thamelink Ct, Wake Forest, NC 27587 Phone: 618-922-0705 | |
Heidi Louise Trollman Erwin, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7932 Midnight Ln, Wake Forest, NC 27587 Phone: 919-757-3887 | |
Georgia Angeli Skelly, RD, MS, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1405 Flemming House St, Wake Forest, NC 27587 Phone: 919-435-8789 |