Individual
BERNADETTE HILLARY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-3780
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60838692
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1659806842
WA
Other
Enumeration date
04/25/2017
Last updated
01/30/2026
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