Individual
SHANNON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 INNOVATION DRIVE, SUITE 140, GREENVILLE, SC 29605-5263
(864) 295-1750
(864) 295-1753
Mailing address
2 INNOVATION DRIVE, SUITE 140, GREENVILLE, SC 29607-5263
(864) 295-1750
(864) 295-1753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2699
SC
363L00000X
Nurse Practitioner
5022704
NC
Other
Enumeration date
03/07/2006
Last updated
07/29/2025
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