| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAWN GREEN | 1356896377 | 2024-03-11 |
Shawn Green is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356896377. Registration indicates Shawn Green is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Certified Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers, Clinical Nurse Specialist) (Clinical Nurse Specialist: Adult Health, ) (All Other Specialties & Provider Types, ) (Clinical Nurse Specialist Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Clinical Nurse Specialist, ) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Shawn Green ACNS-BC, PMHNP-BC |
| Practice Office Address | 103 CONTINENTAL PL BRENTWOOD, TN US |
| Practice Office Telephone | 6154883121 |
| Mailing Address | 2316 ECHELON LN SMYRNA, GA 300802126 US |
| Business Telephone | 4044359441 |
| Code | Practice | License No State |
|---|---|---|
| 364SA2200X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Certified Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Clinical Nurse Specialist: Adult Health All Other Specialties & Provider Types Clinical Nurse Specialist Adult Health Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | 16635
TN |
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 16635
TN |
| 193200000X MULT | Group Code |