Tammy Green, CPNP Valid NPI

Individual provider · Nurse Practitioner · Locust Grove, GA

NPI

1609234129

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

RN199156 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2016-01-29

Last updated

2016-02-03