MARCIE JO GREENE MSN FNP-BC NPI 1205370236

NPI Information

NPI: 1205370236
Provider Name: MARCIE JO GREENE, MSN FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11301 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90073
Phone: (805) 683-1491
Get Directions

Marcie Jo Greene, MSN FNP-BC is a family nurse practitioner in Los Angeles, CA with 8 years of experience. Marcie Jo Greene, MSN FNP-BC NPI is 1205370236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

11301 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90073-003
Phone: (805) 683-1491

The NPI 1205370236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2016 and was last updated on 6/2/2023.

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	363LF0000X	Nurse Practitioner	Family	95004841	CALIFORNIA	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	95004841	OTHER	CALIFORNIA	NURSE PRACTITIONER FURNISHING NUMBER
2	95004841	OTHER	CALIFORNIA	NURSE PRACTITIONER NUMBER

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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