MICHELLE MARIE GREEN


Address: 5921 W 12th St, Suite C, Little Rock, AR 72204-1623
Phone: 5018010001

MICHELLE MARIE GREEN (NPI# 1538555818) 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) 1538555818
Entity Type Individual
Full Name MICHELLE MARIE GREEN
Credential WHNP-BC
Practice Address 5921 W 12th St
Suite C
Little Rock
AR 72204-1623
Mailing Address 1171 7th St
Des Moines
IA 50314-2505
Practice Telephone 5018010001
Practice Fax Number 5018010205
Mailing Telephone 5152807000
Mailing Fax Number 5152809525
Enumeration Date 2015-04-13
Last Update Date 2015-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
A004383 AR Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE GREEN

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1477003168 Michelle Green Reflexologist 7851 E Lee St, Tucson, AZ 85715-5022 2016-10-06
1316315898 Michelle Lindsay Green Massage Therapist 49 W Dravus St, Apt 101, Seattle, WA 98119-1992 2015-09-14
1326485699 Michelle Lynn Green Case Manager/Care Coordinator 705 S Knik Goose Bay Rd, Wasilla, AK 99654-8085 2013-05-28
1366659492 Michelle L Green Psychologist 18-b Lenox Pointe, N.e., Atlanta, GA 30324-3168 2007-05-17
1225654999 Michelle Green Pharmacist 2710 Salem Ave, Dayton, OH 45406-2730 2020-06-18
1659900140 Michelle Lear Green Student in an Organized Health Care Education/Training Program 1920 W 1st St, Winston Salem, NC 27104-4220 2020-04-06
1841834728 Michelle Kho Green Pharmacist 2855 Jordan Ct, Alpharetta, GA 30004-3869 2019-11-04

Office Location

Street Address 5921 W 12TH ST
SUITE C
City LITTLE ROCK
State AR
Zip Code 72204-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487749990 Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. Clinic/Center 5921 W 12th St, Suite C, Little Rock, AR 72204-1623 2006-10-03
1699226860 Shanna Rahmaan Registered Nurse 5921 W 12th St, Little Rock, AR 72204-1623 2016-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669952966 Shane Wilson Non-emergency Medical Transport (VAN) 1522 S Tyler St, Little Rock, AR 72204 2018-08-16
1659858348 Poplar Grove Operations LLC Skilled Nursing Facility 7801 Kanis Road, Little Rock, AR 72204 2018-07-25
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1265954820 Marilyn Marie Lynch Registered Nurse 7723 Colonel Glenn Road, Little Rock, AR 72204 2017-07-14
1962852954 Arkansas Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1122 S. University Ave, Little Rock, AR 72204 2016-06-21
1841607751 Charity Gillespie Registered Nurse 5210 Timberland Dr, Little Rock, AR 72204 2014-07-14
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
1548696065 Jamie Washington Prosthetic/Orthotic Supplier 4701 Westwood Ave, Little Rock, AR 72204 2013-09-16
1124468913 Stephanie Rachelle Jez Genetic Counselor, MS 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 2013-06-26
1336492321 Alton Charles Phillips Sr. Counselor 4400shuffield Drive, Little Rock, AR 72204 2012-10-16
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326200213 Sarah J Rhoads Nurse Practitioner 4301 W Markham St # 529, Little Rock, AR 72205-7101 2008-07-01
1770666869 Michele A Jernigan Nurse Practitioner 4301 W Markham St # 518, Little Rock, AR 72205-7101 2006-10-23
1609323658 Shannon Mckinney Nurse Practitioner 4815 W Markham St, Little Rock, AR 72205-3866 2016-09-07
1346625993 Janna Michael Nurse Practitioner 4301 W Markham St, Slot 518, Little Rock, AR 72205-7101 2015-07-24
1124421011 Virginia Shelby Zeno Nurse Practitioner 3915 W 8th St, Pulaski County Health Unit, 2nd Floor, Little Rock, AR 72204 2014-10-06
1366782641 Jeni Warrior Nurse Practitioner 4301 W Markham St, Slot 519, Little Rock, AR 72205-7101 2013-02-22
1346580628 Cassandra Leeann Brown Nurse Practitioner 3915 W 8th St, Little Rock, AR 72204-2028 2013-02-22
1073735205 Lori K Williams Nurse Practitioner 4 Office Park Dr, Little Rock, AR 72211-3896 2007-05-03
1073734158 Becca R Cope Mehlin Nurse Practitioner 9501 Lile Drive, Suite 770, Little Rock, AR 72205 2007-05-02
1760534580 Tina Diane Butler Nurse Practitioner 3915 W 8th St, Suite 222, Little Rock, AR 72204-2028 2007-01-18
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Competitor

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City LITTLE ROCK
Zip Code 72204

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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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