Individual provider · Type 1 NPI

Kasey Cory Green

Nurse Practitioner · Moore, OK

NPI number 1508268442 Active

Practice location

2900 S Telephone Rd, Suite 250
Moore, OK 73160-2968

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X87123 (OK)
Family Nurse Practitioner 363LF0000X87123 (OK)
Nurse Practitioner Primary 363L00000XR0087123 (OK)

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 1508268442

Kasey Cory Green's National Provider Identifier is 1508268442, issued on Sep 23, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moore, OK. The record was last updated on May 15, 2025.