Individual provider · Type 1 NPI
Shannon Green, APRN
Nurse Practitioner · Greenville, SC
Practice location
2 Innovation Drive, Suite 140
Greenville, SC 29605-5263
Fax (864) 295-1753
Mailing address
2 Innovation Drive, Suite 140
Greenville, SC 29607-5263
Other practice locations
- 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 · (910) 742-9243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5022704 (NC) |
| Nurse Practitioner Primary | 363L00000X | 2699 (SC) |
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 1992772073
Shannon Green, APRN's National Provider Identifier is 1992772073, issued on Mar 7, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenville, SC. The record was last updated on Jul 29, 2025.