Individual provider · Type 1 NPI

Justin Matthew Glaze, MSN, APRN, FNP-C

Family Nurse Practitioner · Dalton, GA

NPI number 1144955956 Active

Practice location

1107 Memorial Dr Ste G2
Dalton, GA 30720-8662

Fax (706) 272-6077

Other practice locations

  • 1200 Memorial Dr, Dalton, GA 30720-2529 · (706) 272-6000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP268132 (GA)

Family Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1144955956

Justin Matthew Glaze, MSN, APRN, FNP-C's National Provider Identifier is 1144955956, issued on Jul 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dalton, GA. The record was last updated on May 7, 2026.