Individual
ANGELA M GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3531 LAKELAND DR STE 1060, FLOWOOD, MS 39232-8016
(601) 420-5810
(601) 420-5811
Mailing address
105 SPEERS VALLEY RD, BRANDON, MS 39042-7549
(601) 906-7091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R866891
MS
363L00000X
Nurse Practitioner
R866891
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R866891
MS
Other
Enumeration date
09/11/2017
Last updated
04/28/2021
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