Individual provider Active NPI

Francine Glenn, NP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1972579050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R65321 Issued in MS
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00122327MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
R65321MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Mississippi Ed, LLC CurrentSince Aug 18, 2019 Accepting new patients
United Emergency Services, Inc. CurrentSince Dec 1, 2007 Accepting new patients
United Emergency Services of Mississippi CurrentSince Nov 1, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.