Individual
MS. JENNIFER LAUREN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-1900
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10760
GA
363A00000X
Physician Assistant
5226
AZ
Other
Enumeration date
11/08/2012
Last updated
01/02/2022
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