Provider Demographics
NPI:1841521085
Name:GLOVER, ERICA CHAMBRIELLE
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:CHAMBRIELLE
Last Name:GLOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 MONUMENT RD
Mailing Address - Street 2:#704
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-6435
Mailing Address - Country:US
Mailing Address - Phone:904-233-4544
Mailing Address - Fax:904-764-9592
Practice Address - Street 1:451 MONUMENT RD
Practice Address - Street 2:#704
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-6435
Practice Address - Country:US
Practice Address - Phone:904-233-4544
Practice Address - Fax:904-764-9592
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula