Individual provider · Type 1 NPI
Markesiae Symone Glenn, NP
Women's Health Nurse Practitioner · Lawrenceville, GA
NPI number
1770217903
Active
Practice location
575 W Pike St
Lawrenceville, GA 30046-7685
Mailing address
7 Executive Park Dr NE Apt 2407
Atlanta, GA 30329-2271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP000689 (GA) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 905222 (MS) |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1770217903
Markesiae Symone Glenn, NP's National Provider Identifier is 1770217903, issued on Jul 13, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 15, 2022.