Individual
MS. KAMEIKA NEICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
402 LEVEE RD, SAINT JOSEPH, LA 71366-6661
(318) 766-1967
Mailing address
22 AZALEA LN, NATCHEZ, MS 39120-8950
(601) 446-5319
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
902553
MS
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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