Individual
TRAVIS LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024184
NY
363A00000X
Physician Assistant
Primary
5086
TN
363A00000X
Physician Assistant
TC054
KY
363AM0700X
Medical Physician Assistant
5086
TN
363AM0700X
Medical Physician Assistant
TC054
KY
363AS0400X
Surgical Physician Assistant
5086
TN
363AS0400X
Surgical Physician Assistant
TC054
KY
Other
Enumeration date
10/03/2019
Last updated
10/01/2025
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