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James D Green, FNP
Nurse Practitioner in Festus, Missouri
NPI 1902369671

James D Green is a Nurse Practitioner based in Festus, MO. James D Green practices in Festus, MO and has the professional credentials of FNP. The NPI Number for James D Green is 1902369671 and holds a License No. 53-78679-061 (Missouri).

The current practice location address for James D Green is 1216 W Main St, Festus, MO and can be reached out via phone at 636-543-7600. You can also correspond with James D Green through the mailing address at 1216 W MAIN ST, FESTUS, MO - 63028-1654 (mailing address contact number: 636-543-7600).

Location: 1216 W Main St, Festus, MO, 63028-1654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902369671
Provider Name
James D Green
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1216 W Main St, Festus, MO, 63028-1654
Phone Number
636-543-7600
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
53-78679-061 01 KS KANSAS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1216 W Main St
City
Festus
State
Missouri
Zip
63028-1654
Phone Number
636-543-7600
Fax Number
person
Provider Business Mailing Address Details
Address
1216 W Main St
City
Festus
State
Missouri
Zip
63028-1654
Phone Number
636-543-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2021035759 (Missouri)
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.
53-78679-061 (Kansas)
Definition
Definition to come...
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