Individual
JENNIFER D. STEWART-GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2700 MAIN ST, SNEEDVILLE, TN 37869-3041
(423) 439-4515
(423) 439-4060
Mailing address
365 STOUT DRIVE BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN008471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100047078
PHP
TN
05
—
3649084
—
TN
01
—
4091215
BLUECROSSBLUESHIELD
TN
01
—
TN01M2
JOHN DEERE
TN
Enumeration date
07/07/2006
Last updated
07/20/2016
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