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Mr. Robert Allen Green, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1487328464

Robert Allen Green is a Psychiatric/Mental Health Nurse Practitioner based in Youngsville, LA and is specialized in Psychiatric/Mental Health. Robert Allen Green practices in Lafayette, LA and has the professional credentials of PMHNP-BC. The NPI Number for Robert Allen Green is 1487328464 and holds a License No. 221575 (Louisiana).

The current practice location address for Robert Allen Green is 113 Flagg Pl Bldg B, Lafayette, LA and can be reached out via phone at 337-247-7282 and via fax at 337-279-0776.

Location: 113 Flagg Pl Bldg B, Lafayette, LA, 70592-6080
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Provider Profile Details
NPI Number
1487328464
Provider Name
Robert Allen Green
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
113 Flagg Pl Bldg B, Lafayette, LA, 70592-6080
Phone Number
337-247-7282
Fax Number
337-279-0776
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2584294 05 LA
institution
Provider Business Practice Location Address Details
Address
113 Flagg Pl Bldg B
City
State
Zip
70508-7025
Phone Number
337-247-7282
Fax Number
337-279-0776
person
Provider Business Mailing Address Details
Address
113 Flagg Pl Bldg B
City
State
Zip
70508-7025
Phone Number
337-247-7282
Fax Number
337-279-0776
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
221575 (Louisiana)
Definition
Definition to come...
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