Individual
JOSEPH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8051 S EMERSON AVE STE 300, INDIANAPOLIS, IN 46237-8630
(317) 528-8494
(317) 528-7118
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28190174A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012378A
IN
Other
Enumeration date
09/20/2021
Last updated
07/31/2023
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