National Provider Identifier

Jeanette Glen, LPN

Jeanette Glen, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1417119801Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1417119801
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 27, 2008
Last Updated
June 27, 2008

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • 124 Barrett Ave
  • Jamestown, NY 14701-6502

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417119801
Entity Type
Individual
Last Name
Glen
First Name
Jeanette
Credential
LPN
Mailing Street Address
124 Barrett Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6502
Mailing Country
US
Mailing Phone
(716) 484-9696
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Practice Fax
(716) 894-0604
Enumeration Date
June 27, 2008
Last Updated
June 27, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)