Individual
CHASSIDY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5151 PLANK RD STE 160, BATON ROUGE, LA 70805-3501
(225) 778-7599
Mailing address
5151 PLANK RD STE 160, BATON ROUGE, LA 70805-3501
(225) 778-7599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07558
LA
Other
Enumeration date
02/12/2014
Last updated
09/13/2018
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