GLENDORA CLINIC
NPI 1316101843
Nurse Practitioner - Family in Glendora, MS

Q: What is Glendora Clinic's NPI number?

The NPI number for Glendora Clinic is 1316101843. It was assigned to this organization in the NPPES registry on July 14, 2008.

Q: What is Glendora Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Glendora Clinic was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2008

44 WESTBROOKS AVE, GLENDORA, MS 38928(662) 375-8878 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Glendora Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDORA CLINIC (NPI 1316101843) is a healthcare organization registered as a family in Glendora, Mississippi and active in the NPI registry since July 2008. The organization lists Anne E Brooks, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316101843

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameGLENDORA CLINIC

Location Address44 WESTBROOKS AVEGlendora, MS 38928

Mailing AddressPo Box 189, Corner Of Gibson And Westbrooks AveGlendora, MS 38928-0189 · (662) 375-8878

Phone(662) 375-8878

Organization SubpartYesParent: Tutwiler Clinic

Authorized OfficialAnne E BrooksMedical Director · (662) 345-2334

Enumeration DateJuly 14, 2008

✔ NPI 1316101843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R767376

44 WESTBROOKS AVE, Glendora, MS 38928

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Other Identifiers 3

Medicare OSCAR/certification253946MS

Medicaid09014072MS

Medicare PINC02930MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendora Clinic's NPI number?

The NPI number for Glendora Clinic is 1316101843. It was assigned to this organization in the NPPES registry on July 14, 2008.

Where is Glendora Clinic located?

Glendora Clinic is located at 44 Westbrooks Ave, Glendora, MS 38928. The listed phone number is (662) 375-8878.

What is Glendora Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Glendora Clinic was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.