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Juanita Green, PPS

NPI 1992267611 · on the registry since 2019

Practice

Address
4571 N Market St
Shreveport, LA 71107
Phone
(318) 424-8973
Fax
(318) 424-8739
Organisation at this address
Southern Pediatric Clinic
Harris Memorial Pediatric Clinic, Llc
Brighter Future Counseling Services, Llc
Brighter Future Counseling Services, Llc
Harris Memorial Pediatric & Family Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Additional practice sites

  • 136 E 6th St, Beaumont, CA
  • 10669 Willow Creek Rd, Moreno Valley, CA
  • 6711 Arlington Ave Ste C, Riverside, CA

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101Y00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana