Individual provider · Type 1 NPI

Corey Nicole Green, PA-C

Physician Assistant · Mcloud, OK

NPI number 1255723110 Active

Practice location

29501 Kickapoo Rd
Mcloud, OK 74851-8320

Mailing address

30208 Waco Rd
Mcloud, OK 74851-9012

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2455 (OK)

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 1255723110

Corey Nicole Green, PA-C's National Provider Identifier is 1255723110, issued on Mar 2, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mcloud, OK. The record was last updated on Mar 2, 2015.