Jerril Green
MD | Pediatric Critical Care Medicine | Male
Jerril Green, MD is a Little Rock, Arkansas based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Jerril Green is
14319 Saint Michael Dr, Little Rock, Arkansas - 72211-5572. He can be contacted on phone at
501-590-2885.
Jerril Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Jerril Green is
1457441016 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 12 Nov, 2014.
Jerril Green license number is
E-1961 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Arkansas.
Jerril Green is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Jerril Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Jerril Green |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Jerril Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14319 Saint Michael Dr
Little Rock, AR, 72211-5572
United States |
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| Phone Number : | 501-590-2885 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457441016 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2006 |
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| Last Updated On : | 12 Nov, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerril Green are as mentioned. Primary taxonomy code for Jerril Green, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | E-1961 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Jerril Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 135223001 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 14319 Saint Michael Dr
Little Rock, AR, 72211-5572
United States |
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| Phone Number : | 501-590-2885 |
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Business Location:
Patients can refer following map for directions to
Jerril Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.