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Individual

TRICIA G. GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
907 KINCAID PL, LONGVIEW, TX 75604
(512) 450-4094
Mailing address
2001 SOUTH MEDFORD DRIVE, RICHMOND, TX 77469-4463
(936) 639-1141

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP124042
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
808780
TX

Other

Enumeration date
08/21/2013
Last updated
03/20/2025
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