FAQUETA KENISHA GREEN

SAVANNAH, GA
NPI1558992974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  209710)
Enumeration Date2020-02-04
Last Update Date2020-02-04
Business Address
Ms. FAQUETA KENISHA GREEN APRN, PMHNP-BC
633 STEPHENSON AVE
SAVANNAH, GA 31405-5970
Phone number: 912-224-3641
Mailing Address
Ms. FAQUETA KENISHA GREEN APRN, PMHNP-BC
134 ROSEBERRY CIR
PORT WENTWORTH, GA 31407-5613
Phone number: 912-224-3641
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