Yejide Ann Nelson-glenn, TEACHING CREDENTIAL is a
Student In An Organized Health Care Education/training Program based in Lodi, California. Yejide Ann Nelson-glenn is licensed to practice in * (Not Available) (license number ) and her current practice location is
2659 Heather St, Lodi, California. She can be reached at her office (for appointments etc.) via phone at
(707) 486-9368.
NPI number for Yejide Ann Nelson-glenn is 1619799434 and her current mailing address is 1207 Delaware Ave # 3776, Wilmington, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619799434.
Healthcare Provider's Profile
Full Name | Yejide Ann Nelson-glenn |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2659 Heather St, Lodi, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619799434
- Provider Enumeration Date: 10/31/2024
- Last Update Date: 08/07/2025
Medical Identifiers
Medical identifiers for Yejide Ann Nelson-glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619799434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yejide Ann Nelson-glenn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yejide Ann Nelson-glenn, TEACHING CREDENTIAL 1207 Delaware Ave # 3776, Wilmington, DE 19806-4743 Ph: (707) 486-9368 | Yejide Ann Nelson-glenn, TEACHING CREDENTIAL 2659 Heather St, Lodi, CA 95242-9777 Ph: (707) 486-9368 |
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