Green, Faqueta Kenisha
Green, Faqueta Kenisha is an sole proprietor health care provider with primary practice located at 633 Stephenson Ave , Savannah GA 31405-5970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Green, Faqueta Kenisha can be contacted via phone (912) 224-3641.Contact Information
Primary practice address
633 Stephenson Ave
Savannah GA 31405-5970
Phone: (912) 224-3641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209710 | Georgia |
Profile Details
| NPI number | 1558992974 |
|---|---|
| LBN Legal business name | Green, Faqueta Kenisha |
| Credentials | APRN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2020 |
| Last updated | Feb 4th, 2020 - about 5 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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