GLENNA GREEN


Address: 2722 N Decatur Rd, Decatur, GA 30033-5910
Phone: 4042965440

GLENNA GREEN (NPI# 1922565076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922565076
Entity Type Individual
Full Name GLENNA GREEN
Credential FNP-BC
Practice Address 2722 N Decatur Rd
Decatur
GA 30033-5910
Mailing Address 4655 Martin Dr
Winston
GA 30187-1539
Practice Telephone 4042965440
Mailing Telephone 4048319271
Enumeration Date 2019-02-25
Last Update Date 2019-11-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN208826 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1670 Clairmont Rd, Decatur, GA 300334004 4043216111
4360 Johnson Ferry Pl, Marietta, GA 300682063 7709715870

Other Providers GLENNA GREEN

NPI Name Taxonomy Address Enumeration
1538531827 Glenna Michele Green Contractor 301 S Magnolia Ave, Lansing, MI 48912-2927 2015-10-26

Office Location

Street Address 2722 N DECATUR RD
City DECATUR
State GA
Zip Code 30033-5910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295707107 Jeannie Blom Physical Medicine & Rehabilitation 2722 N Decatur Rd, Decatur, GA 30033-5910 2006-02-03
1326649351 Ouida Deedra Carr Nurse Practitioner 2722 N Decatur Rd, Decatur, GA 30033-5910 2020-11-05
1699304881 Linda Octavien Nurse Practitioner 2722 N Decatur Rd, Decatur, GA 30033-5910 2020-04-08
1609823186 Manor Care Rehabilitation Center of Decatur Ga LLC Skilled Nursing Facility 2722 N Decatur Rd, Decatur, GA 30033-5910 2006-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
Find all providers in zip 30033

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427686062 Tara Cooley Nurse Practitioner 909 Tracey Ln, Decatur, AL 35601-7701 2020-03-30
1407489479 Marathon Health LLC Nurse Practitioner 152 Ipsco St, Decatur, AL 35601-7412 2020-02-19
1518502475 Marissa Lynne Henderson Nurse Practitioner 609 Medical Center Dr Ste 2700, Decatur, TX 76234-3839 2019-11-14
1912463456 Kimberly S Williams Nurse Practitioner 4565 Riverwood Cir, Decatur, GA 30035-2935 2019-02-20
1164907242 Megan Skelley Nurse Practitioner 487 Winn Way Ste 202, Decatur, GA 30030-1728 2018-09-25
1508359969 Rebecca A Voyles Nurse Practitioner 575 W Hay St, Decatur, IL 62526-4164 2018-06-11
1598278558 Vera Mahou Nurse Practitioner 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 2017-11-13
1346753738 Alexis Renee Graven Nurse Practitioner 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 2017-11-08
1508240409 Zachary Pitts Nurse Practitioner 2606 Woodridge Dr, Decatur, GA 30033-4835 2015-07-10
1891063095 Alexis E. Daugherty Nurse Practitioner 603 Church St, Decatur, GA 30030-2517 2011-12-02
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 30033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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