Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN A PEDERSON
ActiveGLENN A PEDERSON is a Nurse Practitioner healthcare provider located in JACKSON, Mississippi. NPI 1811171408 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JACKSON, MS
Registration Details
- NPI Number
- 1811171408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2007 (18.633583145947 yrs)
- Last Updated
- Jul 9, 2010
- Licenses
-
R878258 (MS)ARNP1604312 (FL)
Practice Information
- Address
-
1850 CHADWICK DRJACKSON, MS, 392043404Browse MS providers · Browse ZIP 39204
- Phone
- 6013762944
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Emergency Medicine
Other Nurse Practitioner Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. JOYCE BREWER | CFNP, CNM | 1316906308 |
| DR. BARBARA JANET BOSS | CFNP | 1023077765 |
| DR. AUDWIN FLETCHER | CFNP | 1861451510 |
| MRS. ANTONETTE LUCAS | NP | 1699735803 |
| MS. PAMELA HELMS | CFNP | 1588624621 |
| DR. LISA HAYNIE | CFNP | 1811957905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.