Individual
MRS. BOBBIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
HC4147
GA
163WH0200X
Home Health Registered Nurse
HC4147
NC
164W00000X
Licensed Practical Nurse
HC4147
GA
2355S0801X
Speech-Language Assistant
HC4147
GA
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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