Individual provider · Type 1 NPI
Alexis Greene, AGPCNP-BC
Primary Care Nurse Practitioner · Pontiac, MI
NPI number
1750192951
Active
Practice location
1619 Pebble Beach Dr
Pontiac, MI 48340-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2024070153 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | 2024070153 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2024070153 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1750192951
Alexis Greene, AGPCNP-BC's National Provider Identifier is 1750192951, issued on Jan 16, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pontiac, MI. The record was last updated on Jan 16, 2025.