Individual
MR. JEFFREY ALLEN GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 100, ANDERSON, IN 46011-3458
(765) 298-7500
(765) 298-4913
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(765) 298-5706
(765) 298-4913
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
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