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

Shannon Green, APRN

Individual provider Nurse Practitioner · NPI 1992772073

Shannon Green, APRN is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2004, 22 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
22
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2 Innovation Dr Ste 140
Greenville, SC 29605-5263
Phone: (864) 295-1750
Fax: (864) 295-1753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2699 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5022704 (NC)

Record details

NPI number1992772073
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Greenville