Glenn, Jennifer K

Glenn, Jennifer K is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Glenn, Jennifer K can be contacted via phone (205) 638-2953.

Contact Information

Primary practice address
1600 7Th Ave S Birmingham AL 35233-1711
Phone: (205) 638-2953
Fax: (205) 638-3925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1105856 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20041080 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4540P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-149075 Alabama

Profile Details

NPI number 1326036658
LBN Legal business name Glenn, Jennifer K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 17th, 2015 - about 9 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 1326036658 NPPES
Kentucky MEDICAID 78014917
Kentucky Other 1105856
Kentucky Other 4540P

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