Individual provider · Type 1 NPI
Yejide Ann Nelson-Glenn, TEACHING CREDENTIAL
Student in an Organized Health Care Education/Training Program · Lodi, CA
Practice location
2659 Heather St
Lodi, CA 95242-9777
Mailing address
1207 Delaware Ave # 3776
Wilmington, DE 19806-4743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1619799434
Yejide Ann Nelson-Glenn, TEACHING CREDENTIAL's National Provider Identifier is 1619799434, issued on Oct 31, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lodi, CA. The record was last updated on Aug 7, 2025.