Individual provider · Type 1 NPI
Tina Luanne Green, FNP-BC
Family Nurse Practitioner · Gaffney, SC
NPI number
1013476506
Active
Practice location
104 Willis Plz
Gaffney, SC 29341-1500
Mailing address
656 Sloan Rd
Lyman, SC 29365-9509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 21930 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013476506
Tina Luanne Green, FNP-BC's National Provider Identifier is 1013476506, issued on Mar 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gaffney, SC. The record was last updated on Mar 14, 2019.