Individual
ALICIA MICHELLE GREEN-FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 N BONNIE BRAE ST STE 108, DENTON, TX 76201-2417
(940) 514-0133
(940) 514-0134
Mailing address
1124 CANUELA WAY, JUSTIN, TX 76247-1852
(870) 489-7220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1010977
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1010977
TX
Other
Enumeration date
01/18/2019
Last updated
02/13/2025
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