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1316792245
JEANETTE SHANTE GLENN
HAMPTON, VA
NPI
1316792245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024190036)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
JEANETTE SHANTE GLENN FNP
2100 EXECUTIVE DR STE B
HAMPTON, VA 23666-2402
Phone number: 757-971-7719
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Mailing Address
JEANETTE SHANTE GLENN FNP
6461 CRESCENT WAY APT 203
NORFOLK, VA 23513-1410
Phone number: 757-761-0497
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