Provider Demographics
NPI:1144722513
Name:GREENIDGE, ADLESHIA GP (FNP-C)
Entity type:Individual
Prefix:
First Name:ADLESHIA
Middle Name:GP
Last Name:GREENIDGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:440 N BARRANCA AVE # 1801
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1722
Mailing Address - Country:US
Mailing Address - Phone:800-924-7811
Mailing Address - Fax:877-349-1868
Practice Address - Street 1:7008 SALEM AVE STE 117
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2226
Practice Address - Country:US
Practice Address - Phone:800-924-7811
Practice Address - Fax:877-349-1868
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2025-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704425553363LF0000X
OH0038626363LF0000X
TXAP136263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily