Individual
LISA MARIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3007 WESLEY CHAPEL STOUTS RD STE B, MONROE, NC 28110-4008
(704) 412-3612
Mailing address
3230 HIGHWAY 274, CHERRYVILLE, NC 28021-9637
(980) 522-6680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014763
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/08/2021
Last updated
08/30/2021
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