Individual
MRS. KRISTINA MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6160
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213828
LA
Other
Enumeration date
07/10/2020
Last updated
06/06/2025
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