Individual provider · Type 1 NPI
Glenn R. Fernandes, APRN, BC
Family Nurse Practitioner · Crestview, FL
NPI number
1841356441
Active
Practice location
550 Redstone Ave W Ste 200
Crestview, FL 32536-6429
Fax (850) 682-5917
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11017375 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1841356441
Glenn R. Fernandes, APRN, BC's National Provider Identifier is 1841356441, issued on Dec 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crestview, FL. The record was last updated on Jul 15, 2025.