NPI

Hanna-Rae Nikohl Green

NPI 1568024396

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
NP
Type
Individual
Enumeration date
2019-07-02
Last updated
2023-11-03

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Specialties

Licenses

License TN
26059

Location

Practice location
120 Hospital Dr Ste 260
City
Jefferson City TN
Postal code
37760-5283
Phone
(423) 839-2525

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Jefferson City, TN. 324 records in the public file.

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