Roderick Green

PMHNP | Nurse Practitioner - Psych/Mental Health | 13+ years Exp

2500 N State St, Jackson
  Mississippi, 39216-4500
601-815-5815
Accepts Medicare Nurse Anesthetist in Jackson, Mississippi.
Roderick Green is a Jackson, Mississippi based nurse practitioner with 13 years of experience in Psych/Mental Health. He completed his graduation in 2012. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Roderick Green is R828349 for Psych/Mental Health in Mississippi. His current practice location is 2500 N State St, Jackson. Patients can reach him at 601-815-5815 or can fax him at 601-984-5842. Roderick Green is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1235472697.
Roderick Green provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Roderick 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: Roderick Green
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP
Experience: 13+ years
Medical School Attended:Other
Graduation Year:2012
Accepts Medicare Assignment:Yes
Practice Address:2500 N State St, Jackson,
Mississippi, 39216-4500
Phone:601-815-5815
Fax:601-984-5842
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: 7810115029
Enrollment ID: I20140902000316
NPI Number: 1235472697
NPI Enumeration Date: 03 Apr, 2013
NPI Last Update On: 29 Jul, 2015

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roderick Green are as mentioned below.
License NumberSpecializationStateStatus
R828349Psych/Mental Health MississippiPrimary
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
(250096)Brandon, MSAcute 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 Roderick Green is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Precise Clinical Neuroscience Specialists (4880737626)16
Other Medical Identifiers:
Other legacy medical identifiers associated with Roderick Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
09282029MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Roderick Green
2500 N State St,
Jackson, Mississippi
Zip: 39216-4500
Phone Number: 601-984-5815
Fax Number: 601-984-5842
Patients can reach Roderick Green at 2500 N State St, Jackson, Mississippi or can call to book an appointment on 601-815-5815.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.