Individual provider · Type 1 NPI
Alicia Michelle Green-Farris
Primary Care Nurse Practitioner · Denton, TX
NPI number
1609340058
Active
Practice location
802 N Bonnie Brae St Ste 108
Denton, TX 76201-2417
Fax (940) 514-0134
Mailing address
1124 Canuela Way
Justin, TX 76247-1852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1010977 (TX) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1010977 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1609340058
Alicia Michelle Green-Farris's National Provider Identifier is 1609340058, issued on Jan 18, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Denton, TX. The record was last updated on Feb 13, 2025.