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

Dynasty Dornae Green, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1700711884

Dynasty Dornae Green, RN is a Psychiatric/Mental Health Registered Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

12021 Wilmington Ave # 300
Los Angeles, CA 90059-3019
Phone: (424) 488-3961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95379740 (CA)

Record details

NPI number1700711884
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 17, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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