MS. JACQUELINE CHANNELLE GLENN (NPI# 1821182320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821182320 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE CHANNELLE GLENN |
| Other Name | MS. JACQUELINE MARQUITO CHANNELLE |
| Credential | RN,MSN |
| Practice Address |
249 Billingsley Road Charlotte NC 28211 |
| Practice Telephone | 7043364662 |
| Practice Fax Number | 7043310859 |
| Mailing Telephone | 7043364662 |
| Mailing Fax Number | 7043310859 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
050671 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | HEALTH DEPARTMENT | 01023 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817631 | Jacqueline Renee Glenn | Counselor | 281 Independence Blvd Ste 326, Virginia Beach, VA 23462-2978 | 2012-10-28 |
| Street Address |
249 BILLINGSLEY ROAD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720386188 | Southeast Mecklenburg County Health Department | Pharmacy | 249 Billingsley Road, Charlotte, NC 28211-1003 | 2011-03-09 |
| 1669568473 | Elizabeth J Kirk | Registered Nurse | 249 Billingsley Road, Charlotte, NC 28211 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371511 | Delacy Lindsey | Registered Nurse | 2920 N Tryon St, Suite 212, Charlotte, NC 28206-2761 | 2015-07-13 |
| 1659476240 | Kim Renae English | Registered Nurse | 9338 Ames Hollow Rd, Charlotte, NC 28216 | 2006-09-14 |
| 1548637028 | Eno Forrester | Registered Nurse | 5806 Prosperity Church Rd, Suite A2-156, Charlotte, NC 28269-2206 | 2015-08-31 |
| 1952682213 | Liem & Lim Associates PC | Registered Nurse | 3230 Prosperity Church Rd, Charlotte, NC 28269-8251 | 2011-08-31 |
| 1669568473 | Elizabeth J Kirk | Registered Nurse | 249 Billingsley Road, Charlotte, NC 28211 | 2006-10-05 |
| 1386738318 | Candace Denise Irby | Registered Nurse | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2006-10-03 |
| 1336249820 | Kathryn Morrison Burrows | Registered Nurse | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2006-09-24 |
| 1760580393 | Janet Faye Reddick | Registered Nurse | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2006-09-20 |
| 1013013986 | Rubye Burks Wallace | Registered Nurse | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2006-09-16 |
| 1750487633 | Gail Fox | Registered Nurse | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2006-09-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.