Individual provider · Type 1 NPI
Shannon Marie Green, MSN, FNP-C
Adult Health Nurse Practitioner · Columbia, MO
NPI number
1750995270
Active
Practice location
1701 E Broadway Ste 302
Columbia, MO 65201-8018
Fax (573) 815-8278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020005249 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2020005249 (MO) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1750995270
Shannon Marie Green, MSN, FNP-C's National Provider Identifier is 1750995270, issued on Sep 2, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Columbia, MO. The record was last updated on Feb 24, 2025.