Provider Demographics
NPI:1538539622
Name:GREER, JENNIFER LYN (ND)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYN
Last Name:GREER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 ARTESIA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3413
Mailing Address - Country:US
Mailing Address - Phone:424-291-2333
Mailing Address - Fax:
Practice Address - Street 1:2850 ARTESIA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3413
Practice Address - Country:US
Practice Address - Phone:424-291-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND794175F00000X
OR3017175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath