Individual
MR. JEFFREY ALLEN GLOVER
Active
Individual
MR. JEFFREY ALLEN GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001330A
IN
106H00000X
Marriage & Family Therapist
35000905A
IN
163W00000X
Registered Nurse
28080875A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71001412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200400712-22
ANCC NAT. CERTIFICATION
IN
05
—
200503230
—
IN
01
—
28080875A
INDIANA REGISTERED NURSE
IN
01
—
35000905A
LIC. MARR & FAM THERAPIST
IN
01
—
39001330A
LIC. MENTAL HTH COUNSELOR
IN
01
—
71001412A
INDIANA NURSE PRACTITIONE
IN
01
—
71001412D
INDIANA CSR REGISTRATION
IN
01
—
P01018464
RR MEDICARE
IN
Enumeration date
06/16/2005
Last updated
03/07/2023
Update your record
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