Desire D. Green

NP | Nurse Practitioner | 10+ years Exp

Accepts Medicare Nurse Practitioner in Clarksville, Indiana.
Desire D. Green is a Clarksville, Indiana based nurse practitioner with 10 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: 10+ 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 NumberSpecializationStateStatus
71005375AFamily IndianaPrimary
71005375ANurse Practitioner IndianaSecondary
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, INAcute Care Hospital
(150168)Fort wayne, INAcute 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.
IdentifierTypeStateIssuer
201288380MedicaidIndiana
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.