Glenn A Pederson is a Jackson, Mississippi based nurse practitioner with 31 years of experience in . He completed his graduation in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Glenn A Pederson is R878258 in Mississippi. His current practice location is 1850 Chadwick Dr, Jackson. Patients can reach him at 601-376-2944 and his NPI number (Unique professional ID assigned by NPPES) is 1811171408. Glenn A Pederson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Glenn A Pederson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163584939
Enrollment ID:
I20090311000319
NPI Number:
1811171408
NPI Enumeration Date:
19 Dec, 2007
NPI Last Update On:
09 Jul, 2010
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenn A Pederson are as mentioned below.
License Number
Specialization
State
Status
R878258
Mississippi
Primary
ARNP1604312
Emergency Medicine
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(640001)
Pago pago, AS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Glenn A Pederson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Paragon Emergency Services Llc (8628153087)
177
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Glenn A Pederson 18167 Us Highway 19 N, Suite 285 Clearwater, Florida
Zip:
33764-3528
Patients can reach Glenn A Pederson at 1850 Chadwick Dr, Jackson, Mississippi or can call to book an appointment on 601-376-2944.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.