Individual provider · Type 1 NPI
Ava Dawn Greene, FNP-C
Family Nurse Practitioner · Moultrie, GA
NPI number
1992283097
Active
Practice location
3003 Veterans Pkwy S
Moultrie, GA 31788-6705
Mailing address
4705 Two Knotch Cir
Lake Park, GA 31636-4981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN118430 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992283097
Ava Dawn Greene, FNP-C's National Provider Identifier is 1992283097, issued on Jul 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Jul 31, 2018.