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

Glenn Jordan-Fairley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750239984

Glenn Jordan-Fairley is a Student in an Organized Health Care Education/Training Program in Plantation, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone: (954) 298-6155
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1750239984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2026
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026

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