Provider Demographics
NPI:1720576937
Name:GLOVER, JULIANNE S (AGNP-C)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:S
Last Name:GLOVER
Suffix:
Gender:F
Credentials:AGNP-C
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Other - First Name:
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Mailing Address - Street 1:2401 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1805
Mailing Address - Country:US
Mailing Address - Phone:361-371-3896
Mailing Address - Fax:361-694-1478
Practice Address - Street 1:2401 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1805
Practice Address - Country:US
Practice Address - Phone:361-371-3896
Practice Address - Fax:361-694-1478
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP137271363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology