Roderick Green PMHNP

  • NPI 1235472697
According to our database, the NPI number for Roderick Green PMHNP is 1235472697 and activated since 11 years ago. Roderick Green PMHNP is an individual provider who specializes in Psychiatric/Mental Health, and the primary practice location is 2500 N State St, Jackson, MS 39216. You can also contact Roderick Green PMHNP via telephone number is (601) 815-5815. Provider NPI information was last updated on 07/29/2015.

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Overview of Roderick Green PMHNP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/03/2013
  • Last updated: 07/29/2015

Primary Scrop of Practice

  • Taxonomy Code: 363LP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: R828349
  • License State: MS

Provider Mailing Address

  • Address: 2500 N State St
    Jackson, MS 39216
  • Phone: 601-984-5815
  • Fax: 601-984-5842

Provider Practice Location

  • Address: 2500 N State St
    Jackson, MS 39216
  • Phone: 601-815-5815
  • Fax: 601-984-5842

Scope of Practice

  • Taxonomy Code: 363LP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: R828349
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 09282029
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Roderick Green PMHNP?
  • A: The npi number for Roderick Green PMHNP is 1235472697.
  • Q: What are Roderick Green PMHNP's specialties?
  • A: Roderick Green PMHNP's specialties are Psychiatric/Mental Health and different specialities.
  • Q: What is the medical license for Roderick Green PMHNP?
  • A: The medical license number for Roderick Green PMHNP is R828349 and issued in MS in USA.
  • Q: Where is Roderick Green PMHNP practice location?
  • A: Roderick Green PMHNP is practicing at 2500 N State St, Jackson, MS 39216.
  • Q: How to contact Roderick Green PMHNP?
  • A: You can contact Roderick Green PMHNP via 601-815-5815.