Green, Lori Shea Jean

Green, Lori Shea Jean is an individual health care provider with primary practice located at 313 Federal Dr Nw Ste 130 , Corydon IN 47112-3099. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Lori Shea Jean can be contacted via phone (812) 734-3952.

Contact Information

Primary practice address
313 Federal Dr Nw Ste 130 Corydon IN 47112-3099
Phone: (812) 734-3952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3005070 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000547A Indiana

Profile Details

NPI number 1740225820
LBN Legal business name Green, Lori Shea Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 9th, 2020 - about 6 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 1740225820 NPPES
Kentucky MEDICAID 7100151870
Kentucky Other 1017630001
Kentucky Other 271288

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