Provider Demographics
NPI:1508926403
Name:GLASSCOCK, FRANCES E (MSN, RN, CS)
Entity Type:Individual
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First Name:FRANCES
Middle Name:E
Last Name:GLASSCOCK
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Gender:F
Credentials:MSN, RN, CS
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Mailing Address - Street 1:5033 SHADOW MOUNTAIN ROAD
Mailing Address - Street 2:PO BOX 88013
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011
Mailing Address - Country:US
Mailing Address - Phone:505-649-6882
Mailing Address - Fax:505-373-4879
Practice Address - Street 1:3751 DEL REY BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-7710
Practice Address - Country:US
Practice Address - Phone:505-649-6882
Practice Address - Fax:505-373-4879
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR15936364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health