Individual
ERICKA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8923 BLUEBONNET BLVD, BATON ROUGE, LA 70810-2814
(999) 999-9999
Mailing address
8923 BLUEBONNET BLVD, BATON ROUGE, LA 70810-2814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03211268
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023166356
LA
Other
Enumeration date
03/27/2021
Last updated
02/19/2024
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