MRS. GLENDORA BOLAR JAMISON CRNP NPI 1821371717

NPI Information

  • NPI: 1821371717
  • Provider Name: MRS. GLENDORA BOLAR JAMISON, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1303 DR MARTIN L KING JR AVE
    MOBILE, AL
    ZIP 36603
  • Phone: (251) 432-4117

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NPI Details

MRS. Glendora Bolar Jamison, CRNP is a family nurse practitioner in Mobile, AL. MRS. Glendora Bolar Jamison, CRNP NPI is 1821371717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1303 DR MARTIN L KING JR AVE
MOBILE, AL
ZIP 36603-341
Phone: (251) 432-4117
Fax: (251) 964-4012

The enumeration date for this NPI number is 9/27/2011 and was last updated on 9/27/2011.

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
1363L00000XNurse Practitioner1-042513ALABAMANo
2363LC1500XNurse PractitionerCommunity Health1-042513ALABAMANo
3363LP2300XNurse PractitionerPrimary Care1-042513ALABAMANo
4363LF0000XNurse PractitionerFamily1-042513ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11-042513OTHERALABAMASTATE LICENSE

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: 11/21/2025

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