Individual
APRIL LAKESHIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
911 ELLIS AVE, JACKSON, MS 39209-6256
(601) 533-7016
(769) 333-9150
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R874728
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R874728
MISSISSIPPI
MS
Enumeration date
09/20/2012
Last updated
09/17/2024
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