Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Green

Individual provider Specialist · NPI 1568866648

Jacqueline Green is a Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
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Practice location Address checks out

4117 NW 122nd St Ste C
Oklahoma City, OK 73120-8878 Not confirmed with CMS for 11 years — call before visiting
Phone: (405) 401-8136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OCC-03720 (OK)

Record details

NPI number1568866648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 17, 2014

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