Individual
BETHANY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3443 DICKERSON PIKE, STE. 680, NASHVILLE, TN 37207
(615) 865-3322
(615) 467-6692
Mailing address
3443 DICKERSON PIKE, STE. 680, NASHVILLE, TN 37207-2519
(615) 865-3322
(615) 467-6692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6063696
BLUE CROSS OF TN
TN
05
—
7100467920
—
KY
05
—
Q020593
—
TN
Enumeration date
03/22/2016
Last updated
06/21/2018
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