Active NPI
Glen Charles Nobles Jr., NP-C
- Family Nurse Practitioner
- Chipley, FL
National Provider Identifier
1467875005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9320777
- Practice address
- 1338 South Blvd
Chipley, FL 32428-1846 - Phone
- (850) 638-6240
- Fax
- (850) 415-5010
- NPI assigned
- Feb 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9320777 | FL | Primary |
Addresses
Primary practice location
1338 South Blvd
Chipley, FL 32428-1846
Mailing address
1338 South Blvd
Chipley, FL 32428-1846
Phone (850) 638-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9320777 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1467875005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 SOUTH BLVD",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324281846",
"telephone_number": "850-638-6240",
"fax_number": "850-415-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 SOUTH BLVD",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324281846",
"telephone_number": "850-638-6240",
"fax_number": "850-415-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "GLEN",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-03",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9320777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.