Individual
MRS. MERRY LYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
845 3RD AVE FL 6, NEW YORK, NY 10022-6630
(866) 949-0108
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(669) 490-1088
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305656-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03552090
—
NY
Enumeration date
04/04/2011
Last updated
04/28/2022
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