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Individual

TAWANA GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-BC

Contact information

Practice address
1304 CLAY ST, VICKSBURG, MS 39183-3012
(601) 738-5642
(601) 738-5643
Mailing address
1304 CLAY ST, VICKSBURG, MS 39183-3012
(601) 738-5642
(601) 738-5643

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907023
MS
376J00000X
Homemaker

Other

Enumeration date
09/17/2019
Last updated
01/05/2025
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