Individual
MRS. LAKEISHA CRYE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
901 HIGHWAY 80 E, CLINTON, MS 39056-5244
(601) 488-9668
Mailing address
901 HIGHWAY 80 E, CLINTON, MS 39056-5244
(601) 488-9668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R890966
MS
Other
Enumeration date
03/25/2015
Last updated
08/04/2021
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