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NPI Code Detail

MEDICARE: MRS. DEBRA DENISE GREEN NP

MEDICARE: MRS. DEBRA DENISE GREEN NP
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
1363LF0000XFamily Nurse Practitioner1-171199AL

General Provider Information

NPI Number : 1871321091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA DENISE GREEN NP
Provider Business Mailing Address
First Line : PO BOX 746063
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6063
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 633 TUSCALOOSA AVE SW
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-1637
Country : US
Telephone Number : 205-235-4003
Fax Number : 205-941-8071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 08/22/2024

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Directions to “ MRS. DEBRA DENISE GREEN NP” Practice Location

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