EVELYN L. GREEN FNP – NPI #1386003036
Nurse Practitioner

EVELYN GREEN is a nurse practitioner located in LONGVIEW, TX. NPPES has assigned the NPI number 1386003036 to EVELYN GREEN on February 22, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 2 years ago on May 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVELYN GREEN below.

NPI Profile for
EVELYN L. GREEN

NPI Number
1386003036
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EVELYN L. GREEN
Credentials
FNP
Primary location
818 N 4TH ST
LONGVIEW, TX 75601-5433
Phone: (903) 236-8600 Fax: (903) 236-8605
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
TX A130258
261QP2300X
- Clinic/Center / Primary Care
TX A130258

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.