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Desire D. Green, NP
Family Nurse Practitioner in Clarksville, Indiana
NPI 1720475395

Desire D. Green is a Family Nurse Practitioner based in Sparks Glencoe, IN and is specialized in Family. Desire D. Green practices in Clarksville, IN and has the professional credentials of NP. The NPI Number for Desire D. Green is 1720475395 and holds a License No. 71005375A (Indiana).

The current practice location address for Desire D. Green is 101 Potters Ln, Clarksville, IN and can be reached out via phone at 443-383-9300 and via fax at 855-866-8710.

Location: 101 Potters Ln, Clarksville, IN, 21152-9477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720475395
Provider Name
Desire D. Green
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Potters Ln, Clarksville, IN, 21152-9477
Phone Number
443-383-9300
Fax Number
855-866-8710
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201288380 05 IN
institution
Provider Business Practice Location Address Details
Address
101 Potters Ln
City
Clarksville
State
Indiana
Zip
47129-1000
Phone Number
443-383-9300
Fax Number
855-866-8710
person
Provider Business Mailing Address Details
Address
101 Potters Ln
City
Clarksville
State
Indiana
Zip
47129-1000
Phone Number
443-383-9300
Fax Number
855-866-8710
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71005375A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71005375A (Indiana)
Definition
Definition to come...
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