Provider / Organization | NPI | Date Certified |
---|---|---|
EUNIQUICA TANETTE GREEN | 1104554427 | 2022-08-14 |
Euniquica Tanette Green is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104554427. Registration indicates Euniquica Tanette Green is a provider of services with a specialization in Nursing Service Related Providers, Doula (Doula, Nursing Service Related Providers) (Doula, )
Entity Type | Individual |
Provider Name | Euniquica Tanette Green |
Practice Office Address | 906 PARKWOOD TRCE JACKSON, TN US |
Practice Office Telephone | 9548157223 |
Mailing Address | 906 PARKWOOD TRCE JACKSON, TN 383018726 US |
Code | Practice | License No State |
---|---|---|
171400000X | ||
374J00000X PRIMARY | Nursing Service Related Providers Doula Doula Nursing Service Related Providers Doula |