Individual provider · Type 1 NPI
Amanda Knightly Green
Nurse Practitioner · Montgomery, AL
Practice location
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Fax (334) 288-8089
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Other practice locations
- 226 Mitylene Park Dr, Montgomery, AL 36117-3548 · (334) 875-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician | 208800000X | 1-128331 (AL) |
| Nurse Practitioner Primary | 363L00000X | 1-128331 (AL) |
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 1508524802
Amanda Knightly Green's National Provider Identifier is 1508524802, issued on Dec 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Montgomery, AL. The record was last updated on Jun 26, 2024.