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NPI Code Detail

MEDICARE: AMY JOY DENYES GREEN AGACNP, RN

MEDICARE: AMY JOY DENYES GREEN AGACNP, RN
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
1363LA2200XAdult Health Nurse PractitionerAPRN11025638FL
2363LA2100XAcute Care Nurse Practitioner4704227238MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902212699
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JOY DENYES GREEN AGACNP, RN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-6341
Fax Number : 239-343-4242
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR STE 156
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3618
Country : US
Telephone Number : 239-343-6341
Fax Number : 239-343-4242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2014
Last Update Date : 03/27/2026

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