Individual provider · Type 1 NPI

Alexis Danielle Green, DNP

Nurse Practitioner · South Bend, IN

NPI number 1942900857 Active

Practice location

621 Memorial Dr Ste 502
South Bend, IN 46601-1075

Call (574) 647-5875 Map

Fax (574) 647-5878

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 500 Arcade Ave Ste 320, Elkhart, IN 46514-2485 · (574) 523-7900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704398971 (MI)
Acute Care Nurse Practitioner 363LA2100X71017611A (IN)

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 1942900857

Alexis Danielle Green, DNP's National Provider Identifier is 1942900857, issued on Mar 8, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Bend, IN. The record was last updated on Mar 13, 2026.