Glen, Jennifer L

Glen, Jennifer L is an individual health care provider with primary practice located at 2265 S. Ninth St Dba Salina Regional Urgent Care, Salina KS 67401. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Glen, Jennifer L can be contacted via phone (785) 452-6000.

Contact Information

Primary practice address
2265 S. Ninth St Dba Salina Regional Urgent Care Salina KS 67401
Phone: (785) 452-6000
Fax: (785) 452-6591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2005033658 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2005033658 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5375694 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 1499928 Kansas

Profile Details

NPI number 1306005624
LBN Legal business name Glen, Jennifer L
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Dec 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306005624 NPPES
Kansas Other 068002336 MEDICARE PTAN
Kansas MEDICAID 201119710A MEDICARE PTAN

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