Individual provider · Type 1 NPI
Tarsheka Green, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Decatur, IL
NPI number
1053299206
Active
Practice location
1601 E Mound Rd # 2072
Decatur, IL 62526-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.033018 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053299206
Tarsheka Green, PMHNP-BC's National Provider Identifier is 1053299206, issued on Aug 25, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Decatur, IL. The record was last updated on Aug 25, 2025.