GINA LYNNE GREEN

PORTAGE, MI
NPI1992420418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704258294)
Enumeration Date2022-10-06
Last Update Date2025-06-30
Business Address
GINA LYNNE GREEN FNP-C
3304 COOLEY CT
PORTAGE, MI 49024-7430
Phone number: 269-349-2266
Mailing Address
GINA LYNNE GREEN FNP-C
3304 COOLEY CT
PORTAGE, MI 49024-7430
Phone number: 269-718-7733