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

Mrs. Stephanie L Green, CFNP

Individual provider Family Nurse Practitioner · NPI 1376504357

Mrs. Stephanie L Green, CFNP is a Nurse Practitioner in Picayune, Mississippi. Qualified in 2004, 22 years ago. Practices with Blue Mountain Hospital District, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Mississippi and Nebraska.

Years since qualifying
22
Licensed in
CO, MS, NE
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1911 Read Rd
Picayune, MS 39466-2730
Phone: (601) 251-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Tatone St, Boardman, OR 97818-8076 — (541) 481-7212

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 804976 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2066 (NE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0992934-NP (CO)

Record details

NPI number1376504357
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Blue Mountain Hospital District — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Picayune