Active NPI
Francine Glenn, NP
- Family Nurse Practitioner
- Tupelo, MS
National Provider Identifier
1972579050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R65321
- Practice address
- 450 E President Ave
Tupelo, MS 38801-5599 - Phone
- (662) 377-3204
- Fax
- (662) 377-2755
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- 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 | R65321 | MS | Primary |
Addresses
Primary practice location
450 E President Ave
Tupelo, MS 38801-5599
Mailing address
56 Dutch LN
Columbus, MS 39702-5500
Phone (662) 329-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122327 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000303 | MS | Practitioner - Nurse Practitioner | 2769448745 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R65321 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Mississippi Ed, LLC | Current | Accepting new patients | |
| United Emergency Services, Inc. | Current | Accepting new patients | |
| United Emergency Services of Mississippi | Current | Accepting new patients | |
| Columbus Emergency Services, LLC | Past | Accepting new patients | |
| Sterling Emergency Services of Mississippi, Inc | Past | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
Interoperability endpoints
- fglenn44604@direct.bmhcc.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Columbus, MS
- NPI 1801983309
MS
-
- Nurse Practitioner
- Columbus, MS
- NPI 1821056409
-
- Nurse Practitioner
- Jackson, MS
- NPI 1932167533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972579050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 DUTCH LN",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025500",
"telephone_number": "662-329-3808",
"fax_number": "662-329-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E PRESIDENT AVE",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015599",
"telephone_number": "662-377-3204",
"fax_number": "662-377-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "FRANCINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R65321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122327",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.