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

Lillie Ruth Green

Individual provider Family Nurse Practitioner · NPI 1205435641

Lillie Ruth Green is a Nurse Practitioner in Quincy, Florida. Qualified in 2025, 1 year ago. Licensed in Florida and Georgia.

Years since qualifying
1
Licensed in
FL, GA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

278 Lasalle Lefall Dr
Quincy, FL 32351-5324
Phone: (229) 726-3984
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence GAA-NP004941 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11007976 (FL)

Record details

NPI number1205435641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2020
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Quincy