Individual
MS. CAROLINE V GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
911 ELLIS AVE, JACKSON, MS 39209-6256
(601) 533-7016
(769) 333-9150
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903203
MS
Other
Enumeration date
02/22/2019
Last updated
04/18/2023
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