MEDICARE: JENNIFER ANN GLENN FNP

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	363L00000X	Nurse Practitioner	100639	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00353091	OTHER	TN	RR MEDICARE PIN

General Provider Information

NPI Number	:	1376551572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN GLENN FNP

Provider Business Mailing Address
First Line	:	1225 E WEISGARBER RD
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2604
Country	:	US
Telephone Number	:	865-584-4747
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 LAKESIDE CENTRE WAY
Second Line	:	SUITE 1
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6591
Country	:	US
Telephone Number	:	865-584-5762
Fax Number	:

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	05/06/2008

Similar Medicare Providers

1912992272 — EARL EDWARD BREAZEALE, JR., MD, PC
Practice Location Address:

2068 LAKESIDE CENTRE WAY
KNOXVILLE, TN
37922-6591

Practice Phone: 865-342-0300
Practice Fax: 865-342-0301

1487649422 — DR. EARL EDWARD BREAZEALE JR. MD
Practice Location Address:

2068 LAKESIDE CENTRE WAY
KNOXVILLE, TN
37922-6591

Practice Phone: 865-342-0300
Practice Fax: 865-342-0301

1881662591 — SIBYL WRAY MD
Practice Location Address:

2060 LAKESIDE CENTRE WAY
KNOXVILLE, TN
37922-6591

Practice Phone: 865-218-6222
Practice Fax: 833-671-1059

1649225202 — DR. SUSAN REAGAN STRICKLER PHD
Practice Location Address:

2060 LAKESIDE CENTRE WAY , SUITE 1
KNOXVILLE, TN
37922-6591

Practice Phone: 865-531-2714
Practice Fax: 865-693-8250

1619916376 — MS. KATHY J WILLIAMS L.C.S.W.
Practice Location Address:

2060 LAKESIDE CENTRE WAY , SUITE 1
KNOXVILLE, TN
37922-6591

Practice Phone: 865-531-2714
Practice Fax: 865-693-8250

1487761144 — DR. DAVID W. BRANDES MD
Practice Location Address:

2060 LAKESIDE CENTRE WAY
KNOXVILLE, TN
37922-6591

Practice Phone: 865-218-6222
Practice Fax: 865-218-6220

Directions to “ JENNIFER ANN GLENN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.