Individual
MARCUS GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(501) 666-8686
Mailing address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221654
AR
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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