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Lillie Ruth Green
Family Nurse Practitioner in Quincy, Florida
NPI 1205435641

Lillie Ruth Green is a Family Nurse Practitioner based in Tallahassee, FL and is specialized in Family. Lillie Ruth Green practices in Quincy, FL. The NPI Number for Lillie Ruth Green is 1205435641 and holds a License No. APRN11007976 (Florida).

The current practice location address for Lillie Ruth Green is 278 Lasalle Lefall Dr, Quincy, FL and can be reached out via phone at 229-726-3984.

Location: 278 Lasalle Lefall Dr, Quincy, FL, 32305-6707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205435641
Provider Name
Lillie Ruth Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
278 Lasalle Lefall Dr, Quincy, FL, 32305-6707
Phone Number
229-726-3984
Fax Number
Provider Enumeration Date
10/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116000800 05 FL
institution
Provider Business Practice Location Address Details
Address
278 Lasalle Lefall Dr
City
Quincy
State
Florida
Zip
32351-5324
Phone Number
229-726-3984
Fax Number
person
Provider Business Mailing Address Details
Address
278 Lasalle Lefall Dr
City
Quincy
State
Florida
Zip
32351-5324
Phone Number
229-726-3984
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11007976 (Florida)
Definition
Definition to come...
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