KANDRIA DENISE GREEN PMHNP-BC
NPI 1598535767
Nurse Practitioner - Psychiatric/Mental Health in Pearl, MS

Q: What is Kandria Green's NPI number?

The NPI number for Kandria Green is 1598535767. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Kandria Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kandria Green was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2024

3794 MS- 468, PEARL, MS 39208(601) 932-2880 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kandria Denise Green Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANDRIA DENISE GREEN PMHNP-BC (NPI 1598535767) is an individual psychiatric/mental health provider in Pearl, Mississippi, licensed in Mississippi (906342) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1598535767

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKANDRIA DENISE GREENCredential: PMHNP-BC

Location Address3794 MS- 468Pearl, MS 39208

Mailing Address3794 Ms- 468Pearl, MS 39208 · (601) 932-2880

Phone(601) 932-2880

Sole ProprietorNo

Enumeration DateJanuary 8, 2024

Last NPPES UpdateMarch 4, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1598535767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 906342

3794 MS- 468, Pearl, MS 39208

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandria Green's NPI number?

The NPI number for Kandria Green is 1598535767. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Kandria Green located?

Kandria Green practices at 3794 Ms- 468, Pearl, MS 39208. The listed phone number is (601) 932-2880.

What is Kandria Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kandria Green was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.