MR. JUSTIN MATTHEW GLAZE MSN APRN FNP-C NPI 1144955956

NPI Information

  • NPI: 1144955956
  • Provider Name: MR. JUSTIN MATTHEW GLAZE, MSN, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: PO BOX 1900
    DALTON, GA
    ZIP 30722
  • Phone: (706) 272-6000

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NPI Details

MR. Justin Matthew Glaze, MSN, APRN, FNP-C is a family nurse practitioner in Dalton, GA. MR. Justin Matthew Glaze, MSN, APRN, FNP-C NPI is 1144955956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PO BOX 1900
DALTON, GA
ZIP 30722-900
Phone: (706) 272-6000

The enumeration date for this NPI number is 7/18/2022 and was last updated on 12/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN268132GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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