Jennifer S. Glynn, MACOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01671 Issued in TX

Practice address

16607 Blanco Rd
Suite 12202
San Antonio, TX 78232-1913

Phone

(210) 504-9272

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By 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

State licenses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1871946715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17635 HENDERSON PASS",
            "address_2": "APT 922",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321647",
            "telephone_number": "210-504-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE 12202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "210-504-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "credential": "MACOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Burnette Glosson, CPNP-PC
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• Johnny Glover, RBT
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• Tommy Delton Glover III
• Kate E Glywasky, PSY D
• GMG Health (Gonzaba Medical Group)
• GMG Health Systems Associates PA (Gonzaba Medical Group)
• GMG Health Systems Associates, PA (Gonzaba Medical Group)
• GMG Health Systems Associates, PA (Gonzaba Medical Group)

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.