Provider Demographics
NPI:1649444746
Name:GLENN, HILLARY LOUISE (DNP, ARNP-BC)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:LOUISE
Last Name:GLENN
Suffix:
Gender:F
Credentials:DNP, ARNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1321 N COUNTY HIGHWAY 395
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5916
Mailing Address - Country:US
Mailing Address - Phone:850-213-1133
Mailing Address - Fax:850-213-2533
Practice Address - Street 1:1321 N COUNTY HIGHWAY 395
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5916
Practice Address - Country:US
Practice Address - Phone:850-213-1133
Practice Address - Fax:850-213-2533
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9274614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily