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

Glenda Jackson Prabu

Individual provider Family Nurse Practitioner · NPI 1720719065

Glenda Jackson Prabu is a Nurse Practitioner in Carmel, Indiana. Qualified in 2021, 5 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13400 N Meridian St Ste 302
Carmel, IN 46032-7104
Phone: (317) 415-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012779A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F07211173 (IN)

Record details

NPI number1720719065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2022
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address13400 N Meridian St Ste 302, Carmel, IN 46032-7104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Carmel