GLYNN N. STANDIFER FNP – NPI #1518625755
Clinic/Center

GLYNN STANDIFER is an AHC clinic located in BOYLE, MS. NPPES has assigned the NPI number 1518625755 to GLYNN STANDIFER on December 06, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLYNN STANDIFER below.

NPI Profile for
GLYNN N. STANDIFER

NPI Number
1518625755
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GLYNN N. STANDIFER
Credentials
FNP
Primary location
201 TIM JONES HWY
BOYLE, MS 38730
Phone: (662) 719-8640 Fax:
Mailing address
59 NOBLIN RD
CLEVELAND, MS 38732-9571
Phone: (662) 719-8640 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)
MS 904501
261Q00000X
- Clinic/Center
MS
207R00000X
- Internal Medicine
MS 904501
163WG0000X
- Registered Nurse / General Practice
MS 904501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.