NPI 1063492221

Jeffrey Allen Greene, PA

Practitioner Physician Assistant Pleasant Prairie, WI

Practice location

Address: 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227
Phone: (262) 857-5000
Fax: (262) 857-5001
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2332 (WI)

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Registry record

NPI: 1063492221
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2006
Record last updated: 22 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.