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Gina Lynne Green, FNP-C
Family Nurse Practitioner in Vicksburg, Michigan
NPI 1992420418

Gina Lynne Green is a Family Nurse Practitioner based in Vicksburg, MI and is specialized in Family. Gina Lynne Green practices in Vicksburg, MI and has the professional credentials of FNP-C. The NPI Number for Gina Lynne Green is 1992420418 and holds a License No. 4704258294 (Michigan).

The current practice location address for Gina Lynne Green is 15600 Portage Rd, Vicksburg, MI and can be reached out via phone at 269-718-7733.

Location: 15600 Portage Rd, Vicksburg, MI, 49097-9722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992420418
Provider Name
Gina Lynne Green
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
15600 Portage Rd, Vicksburg, MI, 49097-9722
Phone Number
269-718-7733
Fax Number
Provider Enumeration Date
10/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15600 Portage Rd
City
Vicksburg
State
Michigan
Zip
49097-9722
Phone Number
269-718-7733
Fax Number
person
Provider Business Mailing Address Details
Address
15600 Portage Rd
City
Vicksburg
State
Michigan
Zip
49097-9722
Phone Number
269-718-7733
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704258294 (Michigan)
Definition
Definition to come...
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