Daphne Russ Green, NURSE PRACTITIONER
NPI #1255917746 in Bladenboro, North Carolina
Provider Information
- NPI Number
- 1255917746
- Entity Type
- Individual
- Name
- Daphne Russ Green, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Mar 23, 2021
- Last Updated
- May 25, 2021
Practice Location
- Address
- 305 SOUTH MAIN STREET
- City
- Bladenboro
- State
- North Carolina
- ZIP Code
- 28320
- Phone
- (910) 770-1514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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