Individual provider · Type 1 NPI
Kandria Denise Green, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Pearl, MS
NPI number
1598535767
Active
Practice location
3794 Ms- 468
Pearl, MS 39208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906342 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1598535767
Kandria Denise Green, PMHNP-BC's National Provider Identifier is 1598535767, issued on Jan 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pearl, MS. The record was last updated on Mar 4, 2024.