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

Timika Nicole Green, LPN

Individual provider Licensed Practical Nurse · NPI 1518707017

Timika Nicole Green, LPN is a Licensed Practical Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

166 Harwood Ave
Syracuse, NY 13224-1627
Phone: (808) 990-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 304308 (NY)

Record details

NPI number1518707017
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 30, 2024

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