Individual provider · Type 1 NPI

Gina Lynne Green, FNP-C

Family Nurse Practitioner · Portage, MI

NPI number 1992420418 Active

Practice location

3304 Cooley Ct
Portage, MI 49024-7430

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704258294 (MI)

Family Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1992420418

Gina Lynne Green, FNP-C's National Provider Identifier is 1992420418, issued on Oct 6, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portage, MI. The record was last updated on Jun 30, 2025.