MRS. AMANDA KAYE GREEN PNP NPI 1437699006

NPI Information

NPI: 1437699006
Provider Name: MRS. AMANDA KAYE GREEN, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
517 GREAT OAKS DRIVE SUITE 103
MONROE, GA
ZIP 30655
Phone: (770) 207-7916
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MRS. Amanda Kaye Green, PNP is a pediatrics nurse practitioner in Monroe, GA. MRS. Amanda Kaye Green, PNP NPI is 1437699006. 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:

517 GREAT OAKS DRIVE SUITE 103
MONROE, GA
ZIP 30655
Phone: (770) 207-7916
Fax: (770) 267-9840

The enumeration date for this NPI number is 3/2/2017 and was last updated on 3/2/2017.

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	363LP0200X	Nurse Practitioner	Pediatrics	RN209452	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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