| Doctor Name: | FELECIA GREEN |
| NPI Number: | 1053730390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN.240900 |
| Business Practice Address: | 9318 State Route 14 1st Floor Streetsboro, OH - 442415224 |
| Business Phone Number: | 3306263455 |
| Business Fax Number: | 3306264189 |
| Mailing Address: | 9318 State Route 14, 1st Floor STREETSBORO |
| State: | OH |
| Postal Code: | 442415224 |
| Phone Number: | 3306263455 |
| Fax Number: | 3306264189 |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN.240900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |