| Jodi Glaser, AGNP | |
|
1068 S Woods Mill Rd, Town And Country, MO 63017-8333 | |
| (314) 394-1379 | |
| (314) 394-1377 |
| Full Name | Jodi Glaser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1068 S Woods Mill Rd, Town And Country, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205202538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2015024754 (Missouri) | Primary |
| Entity Name | Christopher T Labonte Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952409971 PECOS PAC ID: 6002913761 Enrollment ID: O20070515000376 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Glaser, AGNP 1068 S Woods Mill Rd, Town And Country, MO 63017-8333 Ph: (314) 394-1379 | Jodi Glaser, AGNP 1068 S Woods Mill Rd, Town And Country, MO 63017-8333 Ph: (314) 394-1379 |
Mary Margaret Mullane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13001 N Outer 40 Rd, Ste 320, Town And Country, MO 63017 Phone: 314-567-7337 Fax: 314-851-4476 | |
Patricia Hee Huebner, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 S Woods Mill Rd, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 | |
Gary Paul Quillen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1068 S Woods Mill Rd Ste 220, Town And Country, MO 63017 Phone: 314-394-1379 Fax: 314-394-1377 | |
Ms. Jordan Black, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13001 N Outer 40 Rd, Town And Country, MO 63017 Phone: 314-454-5437 |