Provider Demographics
NPI:1669342226
Name:GREENE, MEIOSHA
Entity type:Individual
Prefix:
First Name:MEIOSHA
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WILLIAMS VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-7608
Mailing Address - Country:US
Mailing Address - Phone:629-248-1754
Mailing Address - Fax:
Practice Address - Street 1:100 WILLIAMS VALLEY CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-7608
Practice Address - Country:US
Practice Address - Phone:629-248-1754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty