Provider Demographics
NPI:1437473667
Name:MCGLOTHLIN, JENNIFER N (APN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:MCGLOTHLIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 UPTOWN SQ
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0589
Mailing Address - Country:US
Mailing Address - Phone:615-624-8342
Mailing Address - Fax:615-603-7612
Practice Address - Street 1:536 UPTOWN SQ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0589
Practice Address - Country:US
Practice Address - Phone:615-624-8342
Practice Address - Fax:615-603-7612
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN148172084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry