# JANICE S. GLENN, M.D. AMPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104964758
- **Authorized official:** JANICE S GLENN M.D. (PRESIDENT)
- **Authorized official phone:** (504) 391-1087

## Contact information

- **Practice address:** 2600 BELLE CHASSE HIGHWAY STE 201A, GRETNA, LA 70056-7156
- **Practice address phone:** (504) 391-1087
- **Practice address fax:** (504) 391-1073
- **Mailing address:** 2600 BELLE CHASSE HIGHWAY STE 201A, GRETNA, LA 70056-7156
- **Mailing address phone:** (504) 391-1087
- **Mailing address fax:** (504) 391-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.08593R | LA | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020