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Roderick Green, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Jackson, Mississippi
NPI 1235472697

Roderick Green is a Psychiatric/Mental Health Nurse Practitioner based in Jackson, MS and is specialized in Psychiatric/Mental Health. Roderick Green practices in Jackson, MS and has the professional credentials of PMHNP. The NPI Number for Roderick Green is 1235472697 and holds a License No. R828349 (Mississippi).

The current practice location address for Roderick Green is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-5815 and via fax at 601-984-5842.

Location: 2500 N State St, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1235472697
Provider Name
Roderick Green
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-815-5815
Fax Number
601-984-5842
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09282029 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-5815
Fax Number
601-984-5842
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-815-5815
Fax Number
601-984-5842
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R828349 (Mississippi)
Definition
Definition to come...
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