Individual
MAKAYLA JEAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1649 HIGHWAY 192 W, LONDON, KY 40741-1674
(606) 330-0055
Mailing address
PO BOX 735, FLAT LICK, KY 40935-0735
(606) 302-3525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014245
KY
363LF0000X
Family Nurse Practitioner
3014245
KY
Other
Enumeration date
01/31/2020
Last updated
01/29/2024
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