| NPI | 1427535541 |
|---|---|
| Former Name | SHELIA ANNETTE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016118) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24433) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 280575) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 26142) | |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2023-04-06 |