Green, Laura Ann

Green, Laura Ann is an individual health care provider with primary practice located at 5600 Brainerd Rd Ste A4 , Chattanooga TN 37411-5336. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Laura Ann can be contacted via phone (423) 266-4588.

Contact Information

Primary practice address
5600 Brainerd Rd Ste A4 Chattanooga TN 37411-5336
Phone: (423) 266-4588
Fax: (865) 342-0103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN98189 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN98189 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN199692 NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6889 Tennessee

Profile Details

NPI number 1215935499
LBN Legal business name Green, Laura Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 29th, 2020 - about 4 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 1215935499 NPPES
Tennessee MEDICAID 3344321

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