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

Roderick Green, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235472697

Roderick Green, PMHNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2012, 14 years ago. Practices with Precise Clinical Neuroscience Specialists, a 35-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Licensed in
MS
In the registry since
2013
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-5815
Fax: (601) 984-5842
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 R828349 (MS)

Record details

NPI number1235472697
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESJuly 29, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Precise Clinical Neuroscience Specialists — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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