Individual
MRS. BRIANNA EVE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1239 WILLOW RD, HALLSVILLE, TX 75650-6136
(903) 241-1289
Mailing address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
914923
TX
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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