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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TERESA DESHAWN GREEN, PHYSICIAN ASSISTANT

Active

MRS. TERESA DESHAWN GREEN, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in OWASSO, Oklahoma. NPI 1295700425 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OWASSO, OK

Registration Details

NPI Number
1295700425
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2006 (20.434227113942 yrs)
Last Updated
Feb 17, 2026
Licenses
C0003136 (MD)
2662 (OK)
PA031082 (DC)
C5-0000491 (DE)

Practice Information

Address
8422 N 123RD EAST AVE
OWASSO, OK, 740552130
Browse OK providers · Browse ZIP 74055
Phone
9182932140
Fax
9187127164
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in OWASSO, OK

Name Credential NPI
SARAH E KELLY PA 1710979018
MARILYN SUE TAYLOR PA 1063485316
DAVID STOLL P.A. 1346214202
MRS. REBECCA L LYNCH PA-C 1710926886
HEATH BRANDON WELTON PAC 1225262892
SARA JEAN ENYART PA-C 1528363827
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.