Individual provider · Type 1 NPI

Timika Nicole Green, LPN

Licensed Practical Nurse · Syracuse, NY

NPI number 1518707017 Active

Practice location

166 Harwood Ave
Syracuse, NY 13224-1627

Call (808) 990-9099 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X304308 (NY)

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.

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About NPI 1518707017

Timika Nicole Green, LPN's National Provider Identifier is 1518707017, issued on May 31, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on May 31, 2024.