| Doctor Name: | MRS. CHRISTY J. GREEN |
| NPI Number: | 1023326741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 201050180 |
| Business Practice Address: | 1716 Williams Hwy Grants Pass, OR - 975275661 |
| Business Phone Number: | 5414746053 |
| Business Fax Number: | 5414744527 |
| Mailing Address: | 1416 W 5th St, SHERIDAN |
| State: | WY |
| Postal Code: | 82801 |
| Phone Number: | 3076754646 |
| Fax Number: | 3076754645 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201050180 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |