Green, Shelly Lynn
Green, Shelly Lynn is an sole proprietor health care provider with primary practice located at 1321 W. 7Th Street , Stillwater OK 74074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Shelly Lynn can be contacted via phone (405) 372-8200.Contact Information
Primary practice address
1321 W. 7Th Street
Stillwater OK 74074
Phone: (405) 372-8200
Fax: (405) 743-2619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F06192445 | Oklahoma |
Profile Details
| NPI number | 1881256691 |
|---|---|
| LBN Legal business name | Green, Shelly Lynn |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881256691 | NPPES |
| Oklahoma | MEDICAID | 2008873160A |
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