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

Individual provider Certified Registered Nurse Anesthetist · NPI 1104219088

Jonathon Glennon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lansing, Michigan. Qualified in 2014, 12 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4604 Old Lansing Rd
Lansing, MI 48917-4458
Phone: (517) 322-9285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704240473 (MI)

Record details

NPI number1104219088
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMarch 16, 2015
Last updated in NPPESMarch 16, 2015
Mailing address4604 Old Lansing Rd, Lansing, MI 48917-4458

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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