Individual provider · Type 1 NPI

Stacy P. Green

Family Nurse Practitioner · Baton Rouge, LA

NPI number 1366062754 Active

Practice location

2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0004

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 5646 Read Blvd Ste 380, New Orleans, LA 70127-3148 · (504) 518-5822

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X212276 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1366062754

Stacy P. Green's National Provider Identifier is 1366062754, issued on Apr 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 28, 2026.