SHANNA GREEN APRN NPI 1235976879

NPI Information

  • NPI: 1235976879
  • Provider Name: SHANNA GREEN, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4241 NW AMERICAN LN
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 288-5311

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NPI Details

Shanna Green, APRN is a family nurse practitioner in Lake City, FL. Shanna Green, APRN NPI is 1235976879. 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:

4241 NW AMERICAN LN
LAKE CITY, FL
ZIP 32055-876
Phone: (386) 288-5311

The NPI 1235976879 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 7/11/2024 and was last updated on 10/31/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363LF0000XNurse PractitionerFamily11035937FLORIDAYes

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: 3/30/2025

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