Individual provider · Type 1 NPI

Jenise Glass, FNP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1003647017 Active

Practice location

3308 Deen Rd
Fort Worth, TX 76106-6524

Mailing address

PO Box 732973
Dallas, TX 75373-2973

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1169905 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1003647017

Jenise Glass, FNP's National Provider Identifier is 1003647017, issued on Aug 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 12, 2024.