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

Daphne Russ Green, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1255917746

Daphne Russ Green, NURSEPRACTITIONER is a Nurse Practitioner in Bladenboro, North Carolina. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021

Practice location Address checks out

305 S Main St
Bladenboro, NC 28320
Phone: (910) 770-1514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5014060 (NC)

Record details

NPI number1255917746
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bladenboro