Glenna Ferguson
Individual provider Active NPI Licensed Vocational Nurse · Willis, TX
NPI 1982202362 · NPPES record last updated Oct 16, 2020
Key facts
- NPI
- 1982202362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 210940 (TX)
- Practice address
- 1000 Oak Ridge Rd
Willis, TX 77378-2864 - Phone
- (281) 509-1582
- NPI assigned
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210940 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 210940 | TX | Yes |
Addresses
Primary practice location
1000 Oak Ridge Rd
Willis, TX 77378-2864
Mailing address
1155 Dairy Ashford Rd
Houston, TX 77079-3021
Phone (713) 799-2200
Other providers in Willis, TX
- Dorothy'S Halo Non-Emergency Transportation Services
- Tara Draehn
- Ha Minh Duong
- Empower Home Health LLC
- Bohan Farrell
- Troy Scott Ferguson
- Find Out Dna & Drug Testing
- Nesha Leigh Flagg
- Gayle J Fletcher
- Heather Flynn
All providers in Willis, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.