Individual provider · Type 1 NPI
Mandy Green, NP-C
Nurse Practitioner · Tyler, TX
Practice location
910 E Houston St, Ste 230
Tyler, TX 75702-8369
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Other practice locations
- 910 E Houston St Ste 250, Tyler, TX 75702-8364 · (903) 606-7300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 679662 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP122656 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1811241292
Mandy Green, NP-C's National Provider Identifier is 1811241292, issued on Nov 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Apr 17, 2025.