Individual
HELEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3179 NEAL WAY, ELLENWOOD, GA 30294-3841
(917) 330-2245
Mailing address
3179 NEAL WAY, ELLENWOOD, GA 30294-3841
(917) 330-2245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN327890
GA
164W00000X
Licensed Practical Nurse
Primary
7691164UPD
NY
Other
Enumeration date
05/12/2014
Last updated
06/04/2026
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