Individual provider · Type 1 NPI

Ashley Green, PA-C, RD, LD/N

Physician Assistant · Lake Mary, FL

NPI number 1205443728 Active

Practice location

1301 S International Pkwy Ste 1041
Lake Mary, FL 32746-1410

Call (407) 732-7668 Map

Mailing address

3675 Simonton Pl
Lake Mary, FL 32746-6752

Other practice locations

  • 1639 N Volusia Ave Ste B, Orange City, FL 32763-3843 · (386) 777-2273

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XND7124 (FL)
Physician Assistant Primary 363A00000XPA9113579 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205443728

Ashley Green, PA-C, RD, LD/N's National Provider Identifier is 1205443728, issued on Sep 29, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Mary, FL. The record was last updated on Apr 7, 2025.