MS. MONA GLENN (NPI# 1164036414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164036414 |
| Entity Type | Individual |
| Full Name | MS. MONA GLENN |
| Credential | RN |
| Practice Address |
Winn Army Community Hospital 1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Mailing Address |
1061 Harmon Ave Ofc Fort Stewart GA 31314-5641 |
| Practice Telephone | 9123156116 |
| Mailing Telephone | 9123156116 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
325110 | NC | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
325110 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MILITARY | 0012574 | 01 |
| Street Address |
WINN ARMY COMMUNITY HOSPITAL 1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078522 | John W Kirkwood | Nurse Anesthetist, Certified Registered | Winn Army Community Hospital, Fort Stewart, GA 31314-5611 | 2005-07-21 |
| 1275142762 | Sonya Cotton | Social Worker | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31313 | 2020-07-30 |
| 1801405303 | Julia E Daniel | Audiologist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-30 |
| 1700495793 | Angel J Flournoy | Pharmacist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-27 |
| 1275142572 | Jordan A Mark | Nurse Anesthetist, Certified Registered | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-23 |
| 1841820586 | Dante Oliver | Pharmacist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-01-22 |
| 1730654187 | Allison Lynn Duran | Nurse Practitioner | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2018-10-11 |
| 1780120923 | Taran Bhola | Physician Assistant | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-01-11 |
| 1477008191 | Gabriel David Morgan | Physical Therapist | Winn Army Community Hospital, 1061 Harmon Avenue, Fort Stewart, GA 31314-5641 | 2016-08-23 |
| 1366863532 | David R Powell | Family Medicine | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2013-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851795553 | Brian Vogt | Registered Nurse | 703 E. 9th Street N., Bldg 4970 Rm 221, Fort Stewart, GA 31314 | 2014-10-09 |
| 1710380183 | Christine Diana Withers | Registered Nurse | 703 E. 9th Street North, Bldg 4970, Room 123, Fort Stewart, GA 31314 | 2014-09-30 |
| 1780059758 | Danny Ray Denkins | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-12-02 |
| 1013380922 | Joseph Warren Jr. | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-11-02 |
| 1720464845 | Jeanette W Williams | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-07-31 |
| 1154700391 | Che Simmons | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-05-20 |
| 1346631652 | Taquisha Dawn Edwards | Registered Nurse | 703 E. 9th Street North, Bldg 4970, Room 124, Fort Stewart, GA 31314 | 2015-02-09 |
| 1518357003 | Karen Jackson | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-02-04 |
| 1831593169 | Michelle Bartley | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-10-15 |
| 1235531062 | Myrtice Aquila Doore | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-24 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on MS. MONA GLENN.
| 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.