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Jackie Green-August, CCHW

NPI 1841987195 · on the registry since 2023

Practice

Address
5963 Namozine Rd
Crewe, VA 23930
Phone
(434) 298-4012
Organisation at this address
Total Life Center Of Southside Virginia
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
374J00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia