Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela L Glenn

Individual provider Family Nurse Practitioner · NPI 1407314990

Angela L Glenn is a Nurse Practitioner in Columbia, Missouri. Qualified in 2018, 8 years ago. Practices with Ch Specialty Services Mo LLC, a 107-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone: (573) 234-1800
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 109 Eldorado Dr, Moscow Mills, MO 63362-1401 — (636) 699-7070
  • 4055 Valley View Ln, Dallas, TX 75244-5074 — (636) 699-7070

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019005397 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2019005397 (MO)

Record details

NPI number1407314990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2019
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ch Specialty Services Mo Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia