Provider Demographics
NPI:1780856161
Name:GLENN, JAMIE B (CNM, MS)
Entity Type:Individual
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First Name:JAMIE
Middle Name:B
Last Name:GLENN
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Gender:F
Credentials:CNM, MS
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Mailing Address - Street 1:401 S ALABAMA ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2315
Mailing Address - Country:US
Mailing Address - Phone:409-723-8051
Mailing Address - Fax:406-723-8063
Practice Address - Street 1:401 S ALABAMA ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2315
Practice Address - Country:US
Practice Address - Phone:409-723-8051
Practice Address - Fax:406-723-8063
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
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Provider Licenses
StateLicense IDTaxonomies
MTRN35661367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife