ANGELA M GREENE

FLOWOOD, MS
NPI1467971416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  R866891)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MS  R866891)
363L00000X Nurse Practitioner
(Licence: MS  R866891)
Enumeration Date2017-09-11
Last Update Date2021-04-28
Business Address
ANGELA M GREENE PMHNP
3531 LAKELAND DR STE 1060
FLOWOOD, MS 39232-8016
Phone number: 601-420-5810
Mailing Address
ANGELA M GREENE PMHNP
105 SPEERS VALLEY RD
BRANDON, MS 39042-7549
Phone number: 601-906-7091