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Contact Information

GREENE ROOTS WELLNESS & TELEHEALTH PLLC
60 WOODLORE CIR
LITTLE ROCK, AR72211-2354
 Phone: 501-563-8535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GREENE ROOTS WELLNESS & TELEHEALTH PLLC

NPI # 1356220651
LBN Legal business name GREENE ROOTS WELLNESS & TELEHEALTH PLLC
Authorized official COREY GREENE - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2025
Last updated 11/05/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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