Individual
GEORGETTE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 N MAIN ST, STANTON, KY 40380-2174
(606) 775-0515
(606) 552-0694
Mailing address
101 N MAIN ST, STANTON, KY 40380-2174
(606) 783-6400
(606) 783-6415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010880
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3010880
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010880
LICENSE
KY
05
—
7100457640
—
KY
Enumeration date
01/06/2017
Last updated
12/04/2025
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