Individual provider · Type 1 NPI

Misty D. Glenn, FNP-C

Nurse Practitioner · Springfield, MO

NPI number 1033501374 Active

Practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Fax (417) 820-2100

Mailing address

PO Box 505164
St. Louis, MO 63150-5164

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2015005078 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033501374

Misty D. Glenn, FNP-C's National Provider Identifier is 1033501374, issued on Feb 24, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MO. The record was last updated on Apr 27, 2015.