Individual provider · Type 1 NPI

Sherri Lucky Green, PA-C

Medical Physician Assistant · Tallahassee, FL

NPI number 1619070976 Active

Practice location

137 Collegiate Way-Fsu/tshc
Tallahassee, FL 32306-2140

Call (850) 644-5838 Map

Fax (850) 644-0355

Mailing address

5885 Cypress Cir
Tallahassee, FL 32303-6708

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9102290 (FL)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1619070976

Sherri Lucky Green, PA-C's National Provider Identifier is 1619070976, issued on Sep 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tallahassee, FL. The record was last updated on Jul 8, 2007.