Mrs Georgia Lee Green, in Indianola, MS - Licensed Practical Nurse

Mrs Georgia Lee Green, is a Licensed Practical Nurse based in Indianola, Mississippi. Mrs Georgia Lee Green is licensed to practice in Mississippi (license number P281148) and her current practice location is 312 Janet Davis Circle, Indianola, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 207-3020.

NPI number for Mrs Georgia Lee Green is 1396329207 and her current mailing address is 312 Janet Davis Circle, Indianola, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396329207.

Contact Information

	Mrs Georgia Lee Green,
	312 Janet Davis Circle, Indianola, MS 38751-3753
	(662) 207-3020
	Not Available

Provider's Profile

Full Name	Mrs Georgia Lee Green
Gender	Female
Speciality	Licensed Practical Nurse
Location	312 Janet Davis Circle, Indianola, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1396329207
Provider Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021

Medical Identifiers

Medical identifiers for Mrs Georgia Lee Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396329207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	P281148 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Georgia Lee Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Georgia Lee Green, 312 Janet Davis Circle, Indianola, MS 38751-3753 Ph: () -	Mrs Georgia Lee Green, 312 Janet Davis Circle, Indianola, MS 38751-3753 Ph: (662) 207-3020

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Mrs Georgia Lee Green, - Licensed Practical Nurse in Indianola, MS