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Individual

MRS. CHARLA JAYNETTE FROMAN GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5100 OUTER LOOP, LOUISVILLE, KY 40219-4056
(502) 968-6226
(502) 966-5562
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 543-4119
(502) 543-1462

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004438
KY
363LF0000X
Family Nurse Practitioner
Primary
3004438
KY
363LF0000X
Family Nurse Practitioner
F1004066
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100010160
KY
Enumeration date
03/06/2007
Last updated
03/21/2018
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