Individual
JACQUELIEN GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-1637
Mailing address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-1367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-118675
AL
Other
Enumeration date
08/28/2020
Last updated
03/30/2022
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