Individual provider · Type 1 NPI
La Shannon Green
Primary Care Nurse Practitioner · Sanger, TX
NPI number
1134080922
Active
Practice location
4009 Avion Dr
Sanger, TX 76266-1726
Fax (469) 989-6472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1195392 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | 1195392 (TX) |
| Gerontology Nurse Practitioner | 363LG0600X | 1195392 (TX) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1134080922
La Shannon Green's National Provider Identifier is 1134080922, issued on Nov 20, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sanger, TX. The record was last updated on Nov 20, 2025.