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Licensee Information

Jennifer LeAnn Green - PA-C
0010-01769
Active
No
03/17/2009
09/20/2026

Active Supervisor

NameTypeStatusApprovedInactive
Larson, Jonathan David, MD MD Active 03/17/2026
Tate, Jessica Amelia, MD MD Active 05/16/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida
Illinois
New Jersey
Virginia
Washington

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/11/2026 3:13:14 AM
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