Green, Lisa Renee

Green, Lisa Renee is an sole proprietor health care provider with primary practice located at 90 Guardian Ct , Rocky Mount NC 27804-3017. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Green, Lisa Renee can be contacted via phone (252) 212-3350.

Contact Information

Primary practice address
90 Guardian Ct Rocky Mount NC 27804-3017
Phone: (252) 212-3350
Fax: (252) 212-0322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN098822 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 281796 North Carolina

Profile Details

NPI number 1760774772
LBN Legal business name Green, Lisa Renee
Credentials DNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2011
Last updated Mar 17th, 2018 - about 6 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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