Green, Erin L

Green, Erin L is an individual health care provider with primary practice located at 303 E Matthews Ave Ste 202 , Jonesboro AR 72401-3120. 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, Erin L can be contacted via phone (870) 207-7555.

Contact Information

Primary practice address
303 E Matthews Ave Ste 202 Jonesboro AR 72401-3120
Phone: (870) 207-7555
Fax: (870) 207-0520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004748 Arkansas

Profile Details

NPI number 1043660194
LBN Legal business name Green, Erin L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Mar 7th, 2023 - about 3 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 1043660194 NPPES
Arkansas MEDICAID 218056758

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