Individual
DAWN A GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-3091
(931) 729-0174
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4029
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8009
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908096
—
TN
01
—
4134504
BLUE CROSS BLUE SHIELD
TN
01
—
4280866
BLUE CROSS/BLUE /SHIELD
TN
Enumeration date
07/07/2006
Last updated
10/22/2019
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