Jennifer Glenn, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1086855 Issued in TX

Practice address

307 Clear Lake LN
Weatherford, TX 76087-9173

Phone

(479) 263-3644

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1437907862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CLEAR LAKE LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760879173",
            "telephone_number": "479-263-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CLEAR LAKE LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760879173",
            "telephone_number": "479-263-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JENNIFER",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "1086855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Gibson
• Haley K Gilbert, LPC
• Aaron Loy Gilbreath, DNP CRNA
• Vicki Janelle Gillham, RN
• Vanessa Gilmore
• Jermequa Golden
• Goldenlife Senior Care (Veranda Holland Lake Place)
• Lara Rinehart Goldstein, MED CCC-SLP
• Sylvia M Gonzalez, M.S.CCC.SLP
• Brent E Gooden, NP

• Lactation Consultant (Registered Nurse) in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.