Individual
KATIE MONIQUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
924 COX RD, GASTONIA, NC 28054-3456
(704) 495-6334
Mailing address
12439 LOOKOUT POINT DR, CHARLOTTE, NC 28269-8522
(954) 336-9903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5017154
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5017154
NC
Other
Enumeration date
10/28/2022
Last updated
05/12/2026
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