Individual
EMILY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4701 OLD SHEPARD PL STE 100, PLANO, TX 75093-5295
(214) 358-2300
(214) 579-6941
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144562
TX
363LF0000X
Family Nurse Practitioner
AP144562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
798094
RN
TX
01
—
AP144562
TX LICENSE
TX
Enumeration date
03/26/2020
Last updated
09/06/2024
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