Jerwonna Glover, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7719 Issued in AZ

Practice address

3008 N Dobson Rd Ste 2
Chandler, AZ 85224-1295

Phone

(480) 496-2699

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whispering Palms Medical Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998

  AZ

  Medicare reassignment NPD
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Mrs. Jerwonna Glover Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2015.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1033503305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 N DOBSON RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241295",
            "telephone_number": "480-496-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 N DOBSON RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241295",
            "telephone_number": "480-496-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JERWONNA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERWONNA",
            "last_name": "GLOVER",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veronica Saenz Glenn, SLP
• Cynthia Ellen Glidden-Tracey, PH.D.
• Glory DDD Services LLC
• Glover Family Medical, LLC
• Angel Marnita-Yvonne Glover
• Michele Glowacki, DPT
• Ronald William Gluff Jr., LPC
• GM Family Dentistry of Gilbert, PLLC
• GM Family Dentistry, LLC
• Natalie Van Wagoner Gneiting, DO

• All providers in Chandler, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.