NPI 1013657733

Khadija Green

Practitioner Home Health Aide Tallahassee, FL

Practice location

Address: 4065 Bishop Rd, Tallahassee, FL 32305-8317
Phone: (850) 408-3099

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1013657733
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2022
Record last updated: 30 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.