Individual
DR. NANCY JEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
10197 LAKE FOREST DR, VANCLEAVE, MS 39565-2010
(870) 480-7207
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
903936
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901974
MS
Other
Enumeration date
02/27/2017
Last updated
05/18/2023
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