CHARLOTTE RENAE GREEN

TUPELO, MS
NPI1174843742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  R853585)
Enumeration Date2010-06-07
Last Update Date2010-06-07
Business Address
Ms. CHARLOTTE RENAE GREEN PMHNP-BC
4579 S EASON BLVD
TUPELO, MS 38801-6539
Phone number: 662-377-7590
Mailing Address
Ms. CHARLOTTE RENAE GREEN PMHNP-BC
4579 S EASON BLVD
TUPELO, MS 38801-6539
Phone number: 662-377-7590