MEDICARE: MR. JOHN THOMAS GLENNY III MSN, APRN, AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APRN11037673	FL
2	363L00000X	Nurse Practitioner	APRN11037673	FL
3	363LG0600X	Gerontology Nurse Practitioner	APRN11037673	FL
4	363LA2200X	Adult Health Nurse Practitioner	APRN11037673	FL

General Provider Information

NPI Number	:	1265233985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN THOMAS GLENNY III MSN, APRN, AGNP-C

Provider Business Mailing Address
First Line	:	10224 CHIP LN
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-2622
Country	:	US
Telephone Number	:	727-267-8756
Fax Number	:

Provider Business Practice Location Address
First Line	:	5083 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1326
Country	:	US
Telephone Number	:	727-494-7573
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	02/17/2026

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