Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carnell Green Jr

Individual provider Physician Assistant · NPI 1972315596

Carnell Green Jr is a Physician Assistant in Terre Haute, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

567 N 5th St
Terre Haute, IN 47809-1903
Phone: (812) 237-3632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972315596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address805 Granite Ln, Conway, AR 72034-3513

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