MEDICARE: LINLEY GREEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1-192091	AL

General Provider Information

NPI Number	:	1306630223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINLEY GREEN

Provider Business Mailing Address
First Line	:	131 PRIMROSE LN
Second Line	:
City	:	HARPERSVILLE
State	:	AL
Zip	:	35078-5147
Country	:	US
Telephone Number	:	205-227-9135
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 PRIMROSE LN
Second Line	:
City	:	HARPERSVILLE
State	:	AL
Zip	:	35078-5147
Country	:	US
Telephone Number	:	205-227-9135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “ LINLEY GREEN ” Practice Location

Language	Start Address	Practice Location

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