Individual
MR. GLENN E JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 DOLLEY MADISON RD STE 410, GREENSBORO, NC 27410-5167
(336) 292-1510
(336) 292-0679
Mailing address
445 DOLLEY MADISON RD STE 410, GREENSBORO, NC 27410-5167
(336) 292-1510
(336) 292-0679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
200401076
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2004-01076
NC
2084P0804X
Child & Adolescent Psychiatry Physician
200401076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1371F
BCBS NC
NC
01
—
343712
MANAGED HEALTH NETWORK
NC
01
—
7654624
AETNA
NC
05
—
891371F
—
NC
01
—
D6763
MEDCOST
NC
Enumeration date
05/30/2006
Last updated
07/27/2020
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