# DR. LYNN E GLENN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285650515
- **Gender:** F
- **Credential:** NP, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 000341 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | 121 | SC | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 09/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 121 | LICENSE NUMBER | SC |
| 01 | — | GAA-NP000341 | GA NP LICENSE NUMBER | GA |