Green, Kandria Denise

Green, Kandria Denise is an individual health care provider with primary practice located at 3794 Ms- 468 , Pearl MS 39208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Green, Kandria Denise can be contacted via phone (601) 932-2880.

Contact Information

Primary practice address
3794 Ms- 468 Pearl MS 39208
Phone: (601) 932-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 906342 Mississippi

Profile Details

NPI number 1598535767
LBN Legal business name Green, Kandria Denise
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2024
Last updated Mar 4th, 2024 - about 2 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.

Request for update

Popular Providers