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MARY ANN GREEN PMHNP-BC, APRN

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710457247

Individual Registrant:
 MARY ANN GREEN PMHNP-BC, APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
223 N ANDERSON DR  SWAINSBORO, GA 30401-4440 US
Tel: 478-289-2522  Fax: --

Contact information for business:
PO BOX 306  WADLEY, GA 30477-0306 US
Tel: 706-831-2715  Fax: --

Registration Information:
NPI: 1710457247
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
GARN113823

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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