Green, Deborah

Green, Deborah is an individual health care provider with primary practice located at 2600 Tower Dr Ste 304 , Monroe LA 71201-5783. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Deborah can be contacted via phone (318) 966-6320.

Contact Information

Primary practice address
2600 Tower Dr Ste 304 Monroe LA 71201-5783
Phone: (318) 966-6320
Fax: (318) 966-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP03448 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03448 Louisiana

Profile Details

NPI number 1710023007
LBN Legal business name Green, Deborah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 27th, 2022 - about 3 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 1710023007 NPPES
Louisiana MEDICAID 1436348

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