Individual
MRS. DEMARIS DOROUGH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
616 CHAFFEE ST, TALLADEGA, AL 35160-2809
(256) 362-4197
Mailing address
1050 CLEAR CREEK DR, ALPINE, AL 35014-6084
(205) 705-6331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-177827
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1-177827
AL
Other
Enumeration date
01/29/2024
Last updated
04/14/2026
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