IndividualActive
Georgia Green
NPI 1396329207 · Licensed Practical Nurse · Indianola, MS
Provider details
- NPI number
- 1396329207
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P281148 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
312 Janet Davis Circle
Indianola, MS 38751-3753
Phone: (662) 207-3020
Approximate (ZIP-level) locationGet directions
Mailing address
312 Janet Davis Circle
Indianola, MS 38751-3753
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.