LAURA ANN GREEN FNP NPI 1215935499

NPI Information

NPI: 1215935499
Provider Name: LAURA ANN GREEN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5600 BRAINERD RD STE A4
CHATTANOOGA, TN
ZIP 37411
Phone: (423) 266-4588
Get Directions

Laura Ann Green, FNP is a family nurse practitioner in Chattanooga, TN. Laura Ann Green, FNP NPI is 1215935499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5600 BRAINERD RD STE A4
CHATTANOOGA, TN
ZIP 37411-336
Phone: (423) 266-4588
Fax: (865) 342-0103

The NPI 1215935499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN98189	TENNESSEE	No
2	363L00000X	Nurse Practitioner		RN98189	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	RN199692 NP	GEORGIA	No
4	363LF0000X	Nurse Practitioner	Family	APN6889	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3344321	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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