JENNIFER GLISSON (NPI# 1003319732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003319732 |
| Entity Type | Individual |
| Full Name | JENNIFER GLISSON |
| Credential | ARNP |
| Practice Address |
121 K D Revell Rd Wauchula FL 33873-2051 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8637670696 |
| Mailing Telephone | 8632687850 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9190307 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9190307 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5905 Us Highway 301 S, Riverview, FL 335783800 | 7278227115 |
| Street Address |
121 K D REVELL RD |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281456 | Kayum Mohammadbhoy | Obstetrics & Gynecology | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2005-11-10 |
| 1366927329 | Nancy Jaramillo | Dental Hygienist | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2018-09-26 |
| 1356826317 | Jamise Perry | Dental Hygienist | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2018-09-26 |
| 1508345224 | Central Florida Health Care Inc | Clinic/Center | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2018-08-13 |
| 1255654232 | Thomas B Seifert | Dentist | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2010-03-05 |
| 1316129182 | Niki Suri | Dentist | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2007-12-03 |
| 1881660702 | Sara A Polk | Pediatrics | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2006-02-28 |
| 1376516179 | Janet Theimer | Nurse Practitioner | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
| 1609261056 | Gloria Jean Shackelford | Massage Therapist | 114 W Orange St, Wauchula, FL 33873 | 2015-04-02 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1386902252 | Peaceful Mental Health Asociate, LLC | Counselor | 105 South 9th Ave., Wauchula, FL 33873 | 2012-04-30 |
| 1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
| 1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
| 1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
| 1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
| 1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
| 1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
| Find all providers in zip 33873 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862152 | Evan Mae Llupar Lachica | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2019-10-10 |
| 1659845980 | Deborah Zolkos | Nurse Practitioner | 508 S 6th Ave, Wauchula, FL 33873 | 2019-01-21 |
| 1982173845 | Alida Pena Gonzalez | Nurse Practitioner | 515 Carlton St, Wauchula, FL 33873-3407 | 2018-11-20 |
| 1508229709 | Amelia Lazayre Knight | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2016-04-04 |
| 1922076124 | David Justin Blalock | Nurse Practitioner | 515 Carlton St, Wauchula, FL 33873-3407 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.