Individual provider · Type 1 NPI

Alisa Green

Nurse Practitioner · St. Petersburg, FL

NPI number 1144729815 Active

Practice location

1200 7th Ave N
St. Petersburg, FL 33705-1300

Mailing address

1602 Atlantic Dr
Ruskin, FL 33570-4906

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9327638 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144729815

Alisa Green's National Provider Identifier is 1144729815, issued on Feb 7, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 7, 2018.