Individual provider · Type 1 NPI

Jeanette Faith Green, PhD, APRN, PMHNP-BC

Addiction Medicine (Psychiatry & Neurology) Physician · Atlanta, GA

NPI number 1033366364 Active

Practice location

1821 Clifton Rd NE
Atlanta, GA 30329-4021

Mailing address

1821 Clifton Rd NE Ste 1200
Atlanta, GA 30329-4021

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN302779 (GA)
Pediatric Nurse Practitioner 363LP0200XAPRN9189741 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN302779 (GA)
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XRN302799 (GA)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1033366364

Jeanette Faith Green, PhD, APRN, PMHNP-BC's National Provider Identifier is 1033366364, issued on Aug 18, 2008. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Atlanta, GA. The record was last updated on Oct 15, 2024.