Desire D. Green
NP | Nurse Practitioner | 11+ years Exp
101 Potters Ln, Clarksville
Indiana, 47129-1000
443-383-9300
Desire D. Green is a Clarksville, Indiana based nurse practitioner with 11 years of experience in . She completed her graduation in 2014. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Desire D. Green is 71005375A for Family in Indiana. Her current practice location is 101 Potters Ln, Clarksville. Patients can reach her at 443-383-9300 or can fax her at 855-866-8710. Desire D. Green is NP and her NPI number (Unique professional ID assigned by NPPES) is 1720475395.
Desire D. Green has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Desire D. Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Desire D. Green |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 101 Potters Ln, Clarksville,
Indiana, 47129-1000 |
| Phone: | 443-383-9300 |
| Fax: | 855-866-8710 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3072833086 |
| Enrollment ID: | I20150514001735 |
| NPI Number: | 1720475395 |
| NPI Enumeration Date: | 22 Apr, 2015 |
| NPI Last Update On: | 17 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desire D. Green are as mentioned below.
| License Number | Specialization | State | Status | |
| 71005375A | Family | Indiana | Primary | |
| 71005375A | Nurse Practitioner | Indiana | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150017) | Fort wayne, IN | Acute Care Hospital |
| (150168) | Fort wayne, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Desire D. Green is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lutheran Medical Group Llc (4981751617) | 254 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Desire D. Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 201288380 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Desire D. Green
909 Ridgebrook Rd Ste 300,
Sparks Glencoe, Maryland |
| Zip: | 21152-9477 |
| Phone Number: | 443-383-9300 |
| Fax Number: | 855-866-8710 |
Patients can reach Desire D. Green at
101 Potters Ln, Clarksville, Indiana or can
call to book an appointment on 443-383-9300.
Comments/ Reviews:
Patients can read all the reviews posted for Desire D. Green below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Desire D. Green. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.