Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Charlotte Renae Green, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174843742

MS. Charlotte Renae Green, PMHNP-BC is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2009, 17 years ago. Practices with North Mississippi Medical Center, Inc, a 362-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2010
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4579 S Eason Blvd
Tupelo, MS 38801-6539
Phone: (662) 377-7590
Fax: (662) 377-7595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R853585 (MS)

Record details

NPI number1174843742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 7, 2010
Last updated in NPPESJune 7, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice North Mississippi Medical Center, Inc. — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Tupelo