Individual
MRS. SARRAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12088 PALMYRA RD, OAK GROVE, KY 42262-9370
(931) 338-8900
Mailing address
291 LEATHERWOOD BAY RD, DOVER, TN 37058-4507
(931) 338-8900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19136
TN
363L00000X
Nurse Practitioner
Primary
3011011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100470780
—
KY
Enumeration date
09/25/2014
Last updated
07/14/2025
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