Individual
MS. JENNIFER GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7658
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7643
(785) 240-8350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77456
KS
363LP2300X
Primary Care Nurse Practitioner
53-77456-112
KS
Other
Enumeration date
04/05/2006
Last updated
10/27/2021
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