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Jenny Gladheim, RN

Registered Nurse in Poway, CA. Individual provider (NPI-1).

NPI number1023950490
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1023950490
Entity type
Individual (NPI-1)
Name
Jenny Gladheim
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2026
Certification date
Apr 6, 2026
Last updated
Apr 7, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse95192397CAYes

Practice location

13912 Country Creek Rd
Poway, CA 92064-3063

Phone 858-774-6916

Mailing address

13912 Country Creek Rd
Poway, CA 92064-3063

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in Poway, CA

All 13 Registered Nurse providers in Poway · All 1,637 providers in Poway

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