Individual provider Active NPI

Jennifer Glenn, APRN-CNP

  • Family Nurse Practitioner
  • Harrah, OK
National Provider Identifier
1043876071
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60961828 Issued in WA
Practice address
20213 NE 23Rd St Ste B1
Harrah, OK 73045-9144
Phone
(405) 347-9017
NPI assigned
May 15, 2019
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN60958318 WA
Nurse Practitioner 363L00000X AP60958321 WA
Family Nurse Practitioner 363LF0000X 60961828 WA Primary
Family Nurse Practitioner 363LF0000X R0108302 OK
Family Medicine Physician 207Q00000X R0108302 OK

Addresses

Primary practice location

20213 NE 23Rd St Ste B1
Harrah, OK 73045-9144

Mailing address

PO Box 156
Harrah, OK 73045-0156
Phone (405) 347-9017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20210729003692 OK Practitioner - Nurse Practitioner 7214266196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20213 NE 23Rd St
Suite B1
Harrah, OK 73045-9144
Phone (405) 347-9017

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60961828WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Primary Health PLLC CurrentSince Jun 28, 2021 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Jan 31, 2024 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Jan 31, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Dec 1, 2021 Accepting new patients
Medberry Health PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 28, 2022 Accepting new patients
True North Health Navigation LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

20213 NE 23rd St
Ste B1
Harrah, OK 73045
Phone (405) 347-9017

20213 NE 23rd St
Ste B2
Harrah, OK 73045

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

10717 N May Ave
Ste A
The Village, OK 73120
Phone (405) 849-5959

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4749 Fredericksburg Rd
Ste A
San Antonio, TX 78229
Phone (210) 997-8630

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23239/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jennifer.mccammond.1@23239.direct.athenahealth.com
  • Direct secure messaging: jmccammond29812@yvfwc.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1043876071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450156",
            "telephone_number": "405-347-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20213 NE 23RD ST STE B1",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459144",
            "telephone_number": "405-347-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JENNIFER",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "RN60958318",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60958321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60961828",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0108302",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "R0108302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

Verify at the official NPI Registry.