Greene, Tawana

Greene, Tawana is an individual health care provider with primary practice located at 1304 Clay St , Vicksburg MS 39183-3012. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Greene, Tawana can be contacted via phone (601) 738-5642.

Contact Information

Primary practice address
1304 Clay St Vicksburg MS 39183-3012
Phone: (601) 738-5642
Fax: (601) 738-5643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 907023 Mississippi

Profile Details

NPI number 1871143347
LBN Legal business name Greene, Tawana
Credentials RN, MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Jan 5th, 2025 - about last year

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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