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

Glenn Jerome Landry, NP

Individual provider Adult Health Nurse Practitioner · NPI 1629375712

Glenn Jerome Landry, NP is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2010, 16 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4950 Essen Ln Ste 503
Baton Rouge, LA 70809-3738
Phone: (225) 765-1737
Fax: (225) 765-1842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 — (225) 765-1737

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 06368 (LA)

Record details

NPI number1629375712
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 25, 2011
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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