Provider Demographics
NPI:1891681649
Name:JOTZ-GREENE, NADINE (RN, BSN, MS)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:JOTZ-GREENE
Suffix:
Gender:F
Credentials:RN, BSN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNF DRIVE
Mailing Address - Street 2:BLDG. 39A ROOM 2100
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224
Mailing Address - Country:US
Mailing Address - Phone:904-620-2900
Mailing Address - Fax:
Practice Address - Street 1:1 UNF DRIVE
Practice Address - Street 2:BLDG. 39A ROOM 2100
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224
Practice Address - Country:US
Practice Address - Phone:904-620-2900
Practice Address - Fax:904-620-2902
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1912772163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health