Individual provider · Type 1 NPI

Charlotte Renae Green, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS

NPI number 1174843742 Active

Practice location

4579 S Eason Blvd
Tupelo, MS 38801-6539

Fax (662) 377-7595

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR853585 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174843742

Charlotte Renae Green, PMHNP-BC's National Provider Identifier is 1174843742, issued on Jun 7, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tupelo, MS. The record was last updated on Jun 7, 2010.