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

Individual provider Adult Health Nurse Practitioner · NPI 1306136742

Dawn Marie Glass, ANP is a Nurse Practitioner in Johnson City, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2004, 22 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2011
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Practice location Address checks out

411 Princeton Rd Ste 101
Johnson City, TN 37601-2049
Phone: (423) 282-1171
Fax: (423) 282-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN15781 (TN)

Record details

NPI number1306136742
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESAugust 2, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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