Physician Assistant
GLENNA GODFREY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720859424 · enumerated 2024-01-11 · record updated 2026-07-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 333 VALE CIR, FAIRMONT, WV, 26554-6188 (304) 694-5393 Google Maps Apple Maps OpenStreetMap
- Practice location 1377 LOCUST AVE, FAIRMONT, WV, 26554-1791 (855) 988-2273 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 3219 WV
In this directory
Locations and evidence
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Practice location
FAIRMONT, WV, 265541791
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.