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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA JACKSON GLENN, MD

Active

TARA JACKSON GLENN, MD is a Neonatal-Perinatal Medicine healthcare provider located in LA JOLLA, California. NPI 1992060974 is currently active in the NPPES registry. Verify at CMS.

Neonatal-Perinatal Medicine · LA JOLLA, CA

Registration Details

NPI Number
1992060974
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2012 (14.063562885792 yrs)
Last Updated
Apr 8, 2021
Licenses
A170207 (CA)
35-126046 (OH)
A170207 (CA)

Practice Information

Address
9300 CAMPUS POINT DR
LA JOLLA, CA, 920371300
Browse CA providers · Browse ZIP 92037
Phone
8582495800
Primary Specialty
Neonatal-Perinatal Medicine
2080N0001X
Additional Specialty
Pediatrics
Additional Specialty
Neonatal-Perinatal Medicine

Other Neonatal-Perinatal Medicine Providers in LA JOLLA, CA

Name Credential NPI
DR. DALE HAROLD BULL M.D. 1467423483
DR. NATHALY MARIA COROMOTO SWEENEY M.D. 1164572632
MEGAN MARIEL DOTY MD 1285924829
SHIYU SHERRY BAI-TONG M.D. 1528454188
DR. BETTY NGOC PHAM M.D. 1790217750
ALEKSANDRA MARIA ADAMCZAK 1821645805
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.