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Lori Shea Jean Green, NP
Family Nurse Practitioner in Corydon, Indiana
NPI 1740225820

Lori Shea Jean Green is a Family Nurse Practitioner based in Brentwood, IN and is specialized in Family. Lori Shea Jean Green practices in Corydon, IN and has the professional credentials of NP. The NPI Number for Lori Shea Jean Green is 1740225820 and holds a License No. 3005070 (Indiana).

The current practice location address for Lori Shea Jean Green is 313 Federal Dr Nw Ste 130, Corydon, IN and can be reached out via phone at 812-734-3952.

Location: 313 Federal Dr Nw Ste 130, Corydon, IN, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740225820
Provider Name
Lori Shea Jean Green
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
313 Federal Dr Nw Ste 130, Corydon, IN, 37027-5098
Phone Number
812-734-3952
Fax Number
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100151870 05 KY
1017630001 01 IN DMERC
271288 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
313 Federal Dr Nw Ste 130
City
Corydon
State
Indiana
Zip
47112-3099
Phone Number
812-734-3952
Fax Number
person
Provider Business Mailing Address Details
Address
313 Federal Dr Nw Ste 130
City
Corydon
State
Indiana
Zip
47112-3099
Phone Number
812-734-3952
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
71000547A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3005070 (Kentucky)
Definition
Definition to come...
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