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Annie B Green, FNP-BC
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1881671931

Annie B Green is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Annie B Green practices in Hattiesburg, MS and has the professional credentials of FNP-BC. The NPI Number for Annie B Green is 1881671931 and holds a License No. R733618 (Mississippi).

The current practice location address for Annie B Green is 66 Old Airport Rd, Hattiesburg, MS and can be reached out via phone at 601-544-7500 and via fax at 601-544-7524.

Location: 66 Old Airport Rd, Hattiesburg, MS, 39403-1729
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Provider Profile Details
NPI Number
1881671931
Provider Name
Annie B Green
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
66 Old Airport Rd, Hattiesburg, MS, 39403-1729
Phone Number
601-544-7500
Fax Number
601-544-7524
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11582005 01 MS CAQH I D NUMBER
00123059 05 MS
institution
Provider Business Practice Location Address Details
Address
66 Old Airport Rd
City
State
Zip
39401-8382
Phone Number
601-544-7500
Fax Number
601-544-7524
person
Provider Business Mailing Address Details
Address
66 Old Airport Rd
City
State
Zip
39401-8382
Phone Number
601-544-7500
Fax Number
601-544-7524
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R733618 (Mississippi)
Definition
Definition to come...
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