Individual
MS. DEBORAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 TOWER DR STE 304, MONROE, LA 71201-5783
(318) 966-6320
(318) 966-6321
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-6320
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03448
LA
363LW0102X
Women's Health Nurse Practitioner
AP03448
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436348
—
LA
Enumeration date
01/30/2007
Last updated
06/27/2022
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