Individual provider · Type 1 NPI

Stacy Jo Green, CRNP

Nurse Practitioner · Edinboro, PA

NPI number 1437481074 Active

Practice location

120 Washington Towne Blvd N
Edinboro, PA 16412-1254

Fax (814) 877-7510

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP010692 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1437481074

Stacy Jo Green, CRNP's National Provider Identifier is 1437481074, issued on Feb 8, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edinboro, PA. The record was last updated on Aug 10, 2021.