Individual provider · Type 1 NPI
Roderick Green, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
NPI number
1235472697
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-5842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R828349 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235472697
Roderick Green, PMHNP's National Provider Identifier is 1235472697, issued on Apr 3, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, MS. The record was last updated on Jul 29, 2015.