Individual provider · Type 1 NPI

Nicole Renee' Glasco, FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1346902517 Active

Practice location

1783 Troup Hwy
Tyler, TX 75701-5869

Mailing address

15792 County Road 472
Tyler, TX 75706-4035

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1141016 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1346902517

Nicole Renee' Glasco, FNP-C's National Provider Identifier is 1346902517, issued on Oct 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Nov 6, 2024.