Mrs. Merry Lyn Green
Nurse Practitioner - Adult Health
845 3rd Ave Fl 6
New York
, New York 10022-6630
Mrs. Merry Lyn Green
Nurse Practitioner - Adult Health
845 3rd Ave Fl 6
New York
, New York 10022-6630
(669) 490-1088
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Merry Lyn Green
- 40 S Main St Ste 1300
- Memphis, TN
- Zip : 38103-5513
- Phone : (669) 490-1088
Second Address
- Mrs. Merry Lyn Green
- 845 3rd Ave Fl 6
- New York, NY
- Zip : 10022-6630
- Phone : (866) 949-0108
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Is Mrs. Merry Lyn Green a sole practitioner?
Is Mrs. Merry Lyn Green accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 305656 | NY |
National Provider Identifier
| NPI | 1003105610 |
|---|---|
| Provider Name | Mrs. Merry Lyn Green |
| First Address | Memphis, TN 38103-5513 |
| Second Address | New York, NY 10022-6630 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2011 |
| Last Update Date | 12/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03552090 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.