Individual provider · Type 1 NPI
Blake Green, FNP
Family Nurse Practitioner · Atlanta, GA
NPI number
1245587575
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Fax (404) 616-3066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN164761 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245587575
Blake Green, FNP's National Provider Identifier is 1245587575, issued on Aug 6, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 6, 2012.