Individual
ERIC GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-1630
(870) 207-6581
Mailing address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004965
AR
Other
Enumeration date
01/09/2017
Last updated
11/15/2021
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