LA SHANNON GREEN NPI 1134080922

NPI Information

  • NPI: 1134080922
  • Provider Name: LA SHANNON GREEN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 4009 AVION DR
    SANGER, TX
    ZIP 76266
  • Phone: (469) 989-6472

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NPI Details

La Shannon Green is a primary care nurse practitioner in Sanger, TX. La Shannon Green NPI is 1134080922. 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:

4009 AVION DR
SANGER, TX
ZIP 76266-726
Phone: (469) 989-6472
Fax: (469) 989-6472

The enumeration date for this NPI number is 11/20/2025 and was last updated on 11/20/2025.

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
1363LP2300XNurse PractitionerPrimary Care1195392TEXASYes
2363LA2200XNurse PractitionerAdult Health1195392TEXASNo
3363LG0600XNurse PractitionerGerontology1195392TEXASNo

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: 11/21/2025

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