Individual provider · Type 1 NPI

Shannel L. B. Green, LPN

Licensed Practical Nurse · Baltimore, MD

NPI number 1306790902 Active

Practice location

2401 E North Ave
Baltimore, MD 21213-1517

Call (410) 675-2113 Map

Fax (410) 675-2118

Mailing address

9503 Oak Trace Way
Randallstown, MD 21133-2446

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP31343 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1306790902

Shannel L. B. Green, LPN's National Provider Identifier is 1306790902, issued on Feb 23, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 23, 2026.