Individual
JOSHUA D GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2325 INTELLIPLEX DR STE 207, SHELBYVILLE, IN 46176-8546
(317) 392-2971
(317) 398-1894
Mailing address
30 W RAMPART ST SUITE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28233687A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011944A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058239
—
IN
Enumeration date
09/14/2021
Last updated
04/25/2022
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