| NPI | 1487659348 |
|---|---|
| Former Name | JEFFREY ALLEN GLOVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71001412A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001330A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000905A) | |
| 163W00000X Registered Nurse (Licence: IN 28080875A) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-03-07 |