Green, Cynthia

Green, Cynthia is an individual health care provider with primary practice located at 1720A Medical Park Dr Suite 340, Biloxi MS 39532-2129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Green, Cynthia can be contacted via phone (228) 392-7429.

Contact Information

Primary practice address
1720A Medical Park Dr Suite 340 Biloxi MS 39532-2129
Phone: (228) 392-7429
Fax: (228) 396-3830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R632333 Mississippi

Profile Details

NPI number 1841374907
LBN Legal business name Green, Cynthia
Credentials CACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841374907 NPPES
Mississippi MEDICAID 00126987

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