Glover Family Medical, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP7719 Issued in AZ

Legal business name

GLOVER FAMILY MEDICAL, LLC

Practice address

901 S Alma School Rd
Apt. 20
Chandler, AZ 85224

Phone

(480) 709-7585

NPI assigned

Jan 11, 2017

Organization subpart

No

Name

Jerwonna Glover, FNP

Title

Ceo

Phone

(480) 709-7585

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2017.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1063958288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ALMA SCHOOL RD",
            "address_2": "APT. 20",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852240976",
            "telephone_number": "480-709-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ALMA SCHOOL RD",
            "address_2": "APT. 20",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-709-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVER FAMILY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JERWONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-709-7585",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "AP7719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Gjurgevich
• Alyssa Glenn
• Veronica Saenz Glenn, SLP
• Cynthia Ellen Glidden-Tracey, PH.D.
• Glory DDD Services LLC
• Angel Marnita-Yvonne Glover
• Jerwonna Glover, FNP
• Michele Glowacki, DPT
• Ronald William Gluff Jr., LPC
• GM Family Dentistry of Gilbert, PLLC

• All providers in Chandler, AZ
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.