Individual provider · Type 1 NPI
Georgia Lee Green
Licensed Practical Nurse · Indianola, MS
NPI number
1396329207
Active
Practice location
312 Janet Davis Circle
Indianola, MS 38751-3753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P281148 (MS) |
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.
About NPI 1396329207
Georgia Lee Green's National Provider Identifier is 1396329207, issued on May 6, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indianola, MS. The record was last updated on May 6, 2021.