Individual
JENNIFER GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
307 CLEAR LAKE LN, WEATHERFORD, TX 76087-9173
(479) 263-3644
Mailing address
307 CLEAR LAKE LN, WEATHERFORD, TX 76087-9173
(479) 263-3644
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1086855
TX
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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