Individual
KRISTINA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1888 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5124
(864) 599-0920
Mailing address
206 GENE SAMFORD DR, LUFKIN, TX 75904-3358
(936) 634-3396
(936) 632-7933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1024733
TX
Other
Enumeration date
01/26/2020
Last updated
03/02/2021
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