Rebecca Knowles Greene, FNP-C

Individual provider Active NPI Family Nurse Practitioner · MC Rae, GA

NPI 1972024933 · NPPES record last updated Jun 29, 2017

Key facts

NPI
1972024933
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN139648 (GA)
Practice address
PO Box 328
MC Rae, GA 31055-0328
Phone
(229) 868-7404
Fax
(229) 868-7404
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN139648GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telfair County Health Department Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN139648 GA Yes

Addresses

Primary practice location

PO Box 328
MC Rae, GA 31055-0328

Mailing address

PO Box 328
MC Rae, GA 31055-0328
Phone (229) 868-7404

Other providers in MC Rae, GA

All providers in MC Rae, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.