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Stephanie L Green, CFNP

NPI Number 1376504357

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Practice Location

  • 602 Hill St
    Ellisville, MS 39437
  • Phone: (601) 719-0092
  • Fax: (601) 719-0473

Business Location

  • 602 Hill St
    Ellisville, MS 39437
  • Phone: (601) 719-0092
  • Fax: (601) 719-0473

Other Information

  • Enumeration date: 03/30/2006
  • Last updat date: 02/24/2016
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 363LF0000X
  • License number: R804976
  • License number state code: MS
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1376504357 is assigned to Stephanie L Green, Cfnp. Stephanie L Green, Cfnp is practice in Ellisville, MS 39437 with phone number 6017190092. The number of page view of Stephanie L Green, Cfnp is 271.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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