| Janice S. Glenn, M.d. Ampc | |
|
2600 Belle Chasse Highway Ste 201a Gretna LA 70056-7156 | |
| (504) 391-1087 | |
| (504) 391-1073 |
| Full Name | Janice S. Glenn, M.d. Ampc |
|---|---|
| Speciality | Family Medicine |
| Location | 2600 Belle Chasse Highway Ste 201a, Gretna, Louisiana |
| Authorized Official Name and Position | Janice S Glenn (PRESIDENT) |
| Authorized Official Contact | 5043911087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice S. Glenn, M.d. Ampc 2600 Belle Chasse Highway Ste 201a Gretna LA 70056-7156 Ph: (504) 391-1087 | Janice S. Glenn, M.d. Ampc 2600 Belle Chasse Highway Ste 201a Gretna LA 70056-7156 Ph: (504) 391-1087 |
| NPI Number | 1104964758 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104964758 | NPI | - | NPPES |
| 1910104 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.08593R (Louisiana) | Primary |
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