NPI 1053986745
Erin Miranda Green
Practice location
- Address
- 302 Courthouse Rd, Gulfport, MS 39507-1890
- Phone
- (228) 897-7465
- Mailing address
- 860 E River Pl STE 100, Jackson, MS 39202-3442
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1053986745
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 May 2021
- Record last updated
- 9 Jun 2021
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.