person
Ms. Charlotte Renae Green, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Tupelo, Mississippi
NPI 1174843742

Charlotte Renae Green is a Psychiatric/Mental Health Nurse Practitioner based in Tupelo, MS and is specialized in Psychiatric/Mental Health. Charlotte Renae Green practices in Tupelo, MS and has the professional credentials of PMHNP-BC. The NPI Number for Charlotte Renae Green is 1174843742 and holds a License No. R853585 (Mississippi).

The current practice location address for Charlotte Renae Green is 4579 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-377-7590 and via fax at 662-377-7595.

Location: 4579 S Eason Blvd, Tupelo, MS, 38801-6539
person
Provider Profile Details
NPI Number
1174843742
Provider Name
Charlotte Renae Green
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4579 S Eason Blvd, Tupelo, MS, 38801-6539
Phone Number
662-377-7590
Fax Number
662-377-7595
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4579 S Eason Blvd
City
State
Zip
38801-6539
Phone Number
662-377-7590
Fax Number
662-377-7595
person
Provider Business Mailing Address Details
Address
4579 S Eason Blvd
City
State
Zip
38801-6539
Phone Number
662-377-7590
Fax Number
662-377-7595
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R853585 (Mississippi)
Definition
Definition to come...
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