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Individual

COREY LEE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CNP

Contact information

Practice address
625 UNITED DR STE 120A, CONWAY, AR 72032-7810
(501) 358-6720
(501) 358-6726
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 358-6720
(501) 358-6726

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
227525
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
227525
AR

Other

Enumeration date
03/20/2024
Last updated
04/02/2026
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