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

Glenna Rose Godfrey

Individual provider Physician Assistant · NPI 1720859424

Glenna Rose Godfrey is a Physician Assistant in Fairmont, West Virginia. Works from 3 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2024

Practice location Address checks out

1377 Locust Ave
Fairmont, WV 26554-1791
Phone: (855) 988-2273
Show map & directions

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

Additional practice locations (2)

  • 100 Stoney Hill Rd, Fairmont, WV 26554-1589 — (855) 988-2273
  • 6040 University Town Centre Dr, Morgantown, WV 26501-2421 — (304) 598-6900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3219 (WV)

Record details

NPI number1720859424
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Other providers in Fairmont