Provider Demographics
NPI:1437462686
Name:GLOVER, JENNIFER JO (RN, MS, CBCN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JO
Last Name:GLOVER
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Gender:F
Credentials:RN, MS, CBCN
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Mailing Address - Street 1:795 EL CAMINO REAL
Mailing Address - Street 2:LEE BUILDING, LEVEL 3, CANCER CARE CLINIC
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2302
Mailing Address - Country:US
Mailing Address - Phone:650-853-2906
Mailing Address - Fax:650-853-2189
Practice Address - Street 1:795 EL CAMINO REAL
Practice Address - Street 2:LEE BUILDING, LEVEL 3, CANCER CARE CLINIC
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2302
Practice Address - Country:US
Practice Address - Phone:650-853-2906
Practice Address - Fax:650-853-2189
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
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Provider Licenses
StateLicense IDTaxonomies
CA456654364SX0200X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology