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

Glenda Jackson Prabu

Individual provider Family Nurse Practitioner · NPI 1720719065

Glenda Jackson Prabu is a Nurse Practitioner in Carmel, Indiana. Qualified in 2021, 5 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13400 N Meridian St Ste 302
Carmel, IN 46032-7104
Phone: (317) 415-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012779A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F07211173 (IN)

Record details

NPI number1720719065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2022
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Carmel