Casey Green, PA-C
Physician Assistant in Jonesboro, AR. Individual provider (NPI-1).
NPI number1134895394
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1134895394
- Entity type
- Individual (NPI-1)
- Name
- Casey Green
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2021
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1010 S Main StJonesboro, AR 72401-3503
Phone 870-932-1820 · Fax 870-972-6712
Mailing address
Po Box 1533Jonesboro, AR 72403-1533
Phone 870-932-1820 · Fax 870-972-6712
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All 21 Physician Assistant providers in Jonesboro · All 5,919 providers in Jonesboro
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