Provider Demographics
NPI:1861181588
Name:GLENAMAN, JO ANN (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ANN
Last Name:GLENAMAN
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-0441
Mailing Address - Country:US
Mailing Address - Phone:740-847-2287
Mailing Address - Fax:
Practice Address - Street 1:135 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1209
Practice Address - Country:US
Practice Address - Phone:740-847-2287
Practice Address - Fax:740-212-8601
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0032888363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health