Individual
STACY P GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5646 READ BLVD STE 380, NEW ORLEANS, LA 70127-3148
(504) 518-5822
Mailing address
5646 READ BLVD STE 380, NEW ORLEANS, LA 70127-3148
(504) 518-5822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212276
LA
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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