Individual provider · Type 1 NPI

Abigail Mackenzie Green

Student in an Organized Health Care Education/Training Program · Jefferson, LA

NPI number 1396548160 Active

Practice location

1401 Jefferson Hwy Fl CENTER1
Jefferson, LA 70121-2426

Call (504) 842-3260 Map

Fax (504) 842-3193

Mailing address

802 Mccormick St
Shreveport, LA 71104-4818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396548160

Abigail Mackenzie Green's National Provider Identifier is 1396548160, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson, LA. The record was last updated on Mar 28, 2025.