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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLENNA ROSE GODFREY
NPI 1720859424
Physician Assistant in Fairmont, WV

Active since January 11, 2024
1377 LOCUST AVE, FAIRMONT, WV 26554(855) 988-2273 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenna Rose Godfrey NPPES

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

GLENNA ROSE GODFREY (NPI 1720859424) is an individual physician assistant in Fairmont, West Virginia, licensed in West Virginia (3219) and active in the NPI registry since January 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720859424
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGLENNA ROSE GODFREY
Location Address1377 LOCUST AVEFairmont, WV 26554-1791
Mailing Address333 Vale CirFairmont, WV 26554-6188 · (304) 694-5393
Phone(855) 988-2273
Sole ProprietorNo
Enumeration DateJanuary 11, 2024
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1720859424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 3219
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1377 LOCUST AVE, Fairmont, WV 26554
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Secondary Practice Locations 2

Location 16040 University Town Centre DrMorgantown, WV 26501-2421 · Phone (304) 598-6900
Location 2100 Stoney Hill RdFairmont, WV 26554-1589 · Phone (855) 988-2273

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE JAMES CLARKSON MD
Internal Medicine
1377 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 363-3500
SHELDON A HARRIS MD
Family Medicine
1377 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 363-3500
BONNIE DIEP MD
Internal Medicine
1377 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 363-3500

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 Glenna Godfrey's NPI number?

The NPI number for Glenna Godfrey is 1720859424. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Glenna Godfrey located?

Glenna Godfrey practices at 1377 Locust Ave, Fairmont, WV 26554. The listed phone number is (855) 988-2273.

What is Glenna Godfrey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenna Godfrey was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.