Individual
FLORA K. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 709-5130
Mailing address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 709-5130
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R812386
MS
Other
Enumeration date
07/20/2016
Last updated
03/05/2017
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