Individual
MS. CATHY LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP
Contact information
Practice address
2602 SAINT MICHAEL DR STE 400, TEXARKANA, TX 75503-5224
(903) 794-0888
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
671442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A006015
APRN, FNP LICENSE
AR
01
—
AP109917
APRN, FNP LICENSE
TX
Enumeration date
03/15/2007
Last updated
09/11/2025
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