# NSG WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780399386
- **Authorized official:** NOELLE S GREEN NP (OWNER)
- **Authorized official phone:** (757) 712-4767

## Contact information

- **Practice address:** 210 LOWDEN HUNT DR, HAMPTON, VA 23666-2248
- **Practice address phone:** (757) 712-4767
- **Mailing address:** 110 COLISEUM XING \# 5462, HAMPTON, VA 23666-5971
- **Mailing address phone:** (757) 712-4767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 01/18/2023