MR. JERRY LEE JR. GREEN (FNP) – Family Nurse Practitioner, NPI 1366449316

MR. JERRY LEE JR. GREEN (FNP) is a healthcare provider. based in Shawnee, Kansas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. AP30006651 (WA). The NPI Number for MR. JERRY LEE JR. GREEN (FNP) is 1366449316

Main info

Male
Name
MR. JERRY LEE JR. GREEN (FNP)
NPI
1366449316
Phone
(360) 584-3952
Address
6522 HEDGE LANE TER
Enumeration Date
6 July 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. JERRY LEE JR. GREEN (FNP)

  • 6522, Hedge Lane Terrace, Shawnee, Johnson County, Kansas, 66226, United States

    APT 206

    SHAWNEE, KS 662264872

    Phone: (360) 584-3952

    Type: Mailing

  • Munson Army Health Center, 550, Pope Avenue, Fort Leavenworth, Leavenworth, Leavenworth County, Kansas, 66027, United States

    MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)

    FORT LEAVENWORTH, KS 660272332

    Phone: (913) 684-6562

    Fax: (913) 684-6208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66226)

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Reviews

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Frequently asked questions

What is MR. JERRY LEE JR. GREEN (FNP)'s NPI number?
MR. JERRY LEE JR. GREEN (FNP)'s NPI is 1366449316 — the number used across U.S. healthcare to identify this provider.
Would MR. JERRY LEE JR. GREEN (FNP) appear as active to a payer?
You can treat MR. JERRY LEE JR. GREEN (FNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. JERRY LEE JR. GREEN (FNP)?
MR. JERRY LEE JR. GREEN (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. JERRY LEE JR. GREEN (FNP) located near Shawnee?
MR. JERRY LEE JR. GREEN (FNP) currently maps to Shawnee, Kansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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