Individual
HEATHER DEANNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
314 ROGOSIN DR, ELIZABETHTON, TN 37643-2904
(423) 433-6630
(423) 232-8574
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 433-6630
(423) 232-8574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
37107
TN
363LF0000X
Family Nurse Practitioner
37107
TN
Other
Enumeration date
09/16/2024
Last updated
02/19/2025
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