MS. CHARLOTTE RENAE GREEN


Address: 4579 S Eason Blvd, Tupelo, MS 38801-6539
Phone: 6623777590

MS. CHARLOTTE RENAE GREEN (NPI# 1174843742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174843742
Entity Type Individual
Full Name MS. CHARLOTTE RENAE GREEN
Credential PMHNP-BC
Practice Address 4579 S Eason Blvd
Tupelo
MS 38801-6539
Practice Telephone 6623777590
Practice Fax Number 6623777595
Mailing Telephone 6623777590
Mailing Fax Number 6623777595
Enumeration Date 2010-06-07
Last Update Date 2010-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R853585 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHARLOTTE GREEN

NPI Name Taxonomy Address Enumeration
1801268941 Charlotte Green Occupational Therapy Assistant 3101 Ginger Dr, Tallahassee, FL 32308 2015-10-28

Office Location

Street Address 4579 S EASON BLVD
City TUPELO
State MS
Zip Code 38801-6539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508804626 Mary Cecille Goysich Psychologist 4579 S Eason Blvd, Tupelo, MS 38801-6539 2006-06-02
1649890336 Sandra Holmes Counselor 4579 S Eason Blvd, Tupelo, MS 38801-6539 2020-04-22
1235531658 Phillipa Jones Social Worker 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-09-17
1982012506 Malcolm Bell Counselor 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-28
1326454497 Rhonda Smart Marriage & Family Therapist 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-09
1801202148 Rodney Rogers Marriage & Family Therapist 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-08
1225444573 Patricia Baggett Counselor 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-08
1790191112 Susan Thomas Schuh Counselor 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-07
1376958199 Gloria Temple Holland Social Worker 4579 S Eason Blvd, Tupelo, MS 38801-6539 2014-07-01
1164723318 Aracelis Johanna Lu Brea Psychiatry & Neurology 4579 S Eason Blvd, Tupelo, MS 38801-6539 2010-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1710532668 Sondra Bennett Pmhnp-bc LLC Nurse Practitioner 144 S Thomas St Ste 207, Tupelo, MS 38801-5337 2019-08-07
1891353413 Jennifer Warren Pmhnp-bc LLC Nurse Practitioner 315 Magazine St Ste D, Tupelo, MS 38804-3974 2019-05-29
1548783509 Ashley Cooper Nurse Practitioner 499 Gloster Creek Vlg Ste A-3, Tupelo, MS 38801-4600 2017-07-21
1356707400 Jennifer K Warren Nurse Practitioner 315 Magazine St Ste C, Tupelo, MS 38804-4802 2016-01-05
1750416905 Lisa Theresa Lippincott Nurse Practitioner 210 E Main St Ste D, Tupelo, MS 38804-4017 2007-02-21
1275182818 Andrea Paige Pounds Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-09-06
1710532239 Sabrina Hurd Hall Nurse Practitioner 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 2019-08-02
1023572294 Colby Ponder Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-01-22
1730656422 Emily L Mccormac Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2018-10-31
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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