Individual
MRS. DEBRA LANE LIVINGSTON-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39 OFFICE PARK DR STE A, JACKSONVILLE, NC 28546-3220
(910) 939-0724
(939) 333-9145
Mailing address
39 OFFICE PARK DR STE A, JACKSONVILLE, NC 28546-3220
(910) 939-0724
(939) 333-9145
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
91472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003101
—
NC
Enumeration date
12/04/2010
Last updated
12/20/2022
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