Individual
JOHN GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 EAST VALLEY STREET, YELLVILLE, AR 72687-0409
(870) 449-7000
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004305
AR
Other
Enumeration date
04/22/2015
Last updated
03/19/2019
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