Individual
TRICIALYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 WILL HALSEY WAY, MADISON, AL 35758-2565
(256) 325-1349
Mailing address
15731 COACH HOUSE CT NW, HARVEST, AL 35749-7861
(256) 665-4172
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-127637
AL
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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