Individual
JEANETTE SHANTE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2100 EXECUTIVE DR STE B, HAMPTON, VA 23666-2402
(757) 971-7719
Mailing address
6461 CRESCENT WAY APT 203, NORFOLK, VA 23513-1410
(757) 761-0497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190036
VA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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