Individual
GLENN MATTHEWS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN078895
LA
363LF0000X
Family Nurse Practitioner
Primary
AP200591
LA
Other
Enumeration date
08/16/2011
Last updated
02/13/2019
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