Deangelo Green

Homemaker · Jacksonville, FL

Individual Active NPI

NPI number 1154143329

Practice location

13558 Teddington Ln
Jacksonville, FL 32226
Phone
(904) 662-7642

Open in Google Maps

NPI record

NPI
1154143329
Entity type
Individual (Type 1)
Enumeration date
October 29, 2024
Last updated
October 29, 2024
Certified
October 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X — —

About Deangelo Green

Deangelo Green is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 13558 Teddington Ln, Jacksonville, FL 32226. The NPI number 1154143329 was assigned on October 29, 2024 and the record was last updated on October 29, 2024.

Frequently asked questions

What is the NPI number of Deangelo Green?

The NPI number is 1154143329.

What is the phone number of Deangelo Green?

The phone number listed for the practice location is (904) 662-7642.

Where is Deangelo Green located?

13558 Teddington Ln, Jacksonville, FL 32226.

What is the taxonomy code for Deangelo Green?

The primary taxonomy code is 376J00000X – Homemaker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Homemaker providers in Jacksonville

All Homemaker providers in Jacksonville, FL →