EVELYN L GREEN FNP NPI 1386003036

NPI Information

NPI: 1386003036
Provider Name: EVELYN L GREEN, FNP
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
818 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 236-8600
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Evelyn L Green, FNP is a primary care clinic center in Longview, TX. Evelyn L Green, FNP NPI is 1386003036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

818 N 4TH ST
LONGVIEW, TX
ZIP 75601-433
Phone: (903) 236-8600
Fax: (903) 236-8605

The enumeration date for this NPI number is 2/22/2016 and was last updated on 2/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A130258	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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