Individual
JENNY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N TRAVIS ST, LIBERTY, TX 77575-3539
(936) 336-9175
(936) 336-8581
Mailing address
647 COUNTY ROAD 6494, DAYTON, TX 77535-3215
(713) 319-8944
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1055119
TX
Other
Enumeration date
12/03/2021
Last updated
01/02/2025
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