Jennifer Glenn, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Harrah, OK
NPI 1043876071 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1043876071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 60961828 (WA)
- Practice address
- 20213 NE 23Rd St Ste B1
Harrah, OK 73045-9144 - Phone
- (405) 347-9017
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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
- Elara Caring Xxiii
- SSM Health St Anthony Hospital - Midwest
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Oklahoma City
- Mercy Hospital Oklahoma City, Inc
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729003692 | OK | Practitioner - Nurse Practitioner | 7214266196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60958321 | WA | MD | Nurse Practitioner |
| 60961828 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Emergency Medical Center Inc | Current |
Accepting new patients | |
| True North Health Navigation LLC | Current |
Accepting new patients | |
| True North Health Navigation LLC | Current |
Accepting new patients | |
| Sage Primary Health PLLC | Current |
Accepting new patients | |
| Medical Resource Management, LLC | Family Medicine | Current |
Accepting new patients |
| Medberry Health PLLC | Family Medicine | Current |
Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current |
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
2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
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
- jennifer.mccammond.1@23239.direct.athenahealth.com
- https://api.platform.athenahealth.com/23239/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jmccammond29812@yvfwc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN60958318 | WA | |
| Nurse Practitioner | 363L00000X | AP60958321 | WA | |
| Family Nurse Practitioner | 363LF0000X | 60961828 | WA | Yes |
| 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
Other providers in Harrah, OK
- Ceferino Dumanas Jr.
- Dynamic Health Clinic
- Eric D Kyrk DDS PC
- Kristi Michelle Evans X
- Stephen Wade Ford
- Aphrodite Gonzalez
- Dona L Greenhoward
- Tyler Kincaid Haderer
- Seth Hale
- Geoffrey Hargis
All providers in Harrah, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.