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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Other - Credentials:
Mailing Address - Street 1:5449 BEAR LN STE 308
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-4124
Mailing Address - Country:US
Mailing Address - Phone:361-371-3710
Mailing Address - Fax:361-371-3444
Practice Address - Street 1:5449 BEAR LN STE 308
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-4124
Practice Address - Country:US
Practice Address - Phone:361-371-3710
Practice Address - Fax:361-371-3444
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP137271363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology