Individual
HEATHER GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 S EASTPOINTE AVE, NASHVILLE, NC 27856-1849
(252) 459-4012
(252) 937-3101
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 459-4012
(252) 937-3101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007197
NC
363LF0000X
Family Nurse Practitioner
Primary
5007197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265834824
—
NC
01
—
19AR7
BCBS OF NC
NC
01
—
NCL572B
MEDICARE
NC
01
—
P01474220
RR MEDICARE
NC
Enumeration date
09/25/2014
Last updated
07/10/2019
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