JENNIFER BROCK-GARCIA ARNP NPI 1215263595

NPI Information

NPI: 1215263595
Provider Name: JENNIFER BROCK-GARCIA, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2423 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (877) 800-5722
Get Directions

Jennifer Brock-garcia, ARNP is a psychiatric/mental health nurse practitioner in Georgetown, TX. Jennifer Brock-garcia, ARNP NPI is 1215263595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2423 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628-200
Phone: (877) 800-5722

The enumeration date for this NPI number is 10/21/2009 and was last updated on 5/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP 60182788	WASHINGTON	No
2	163W00000X	Registered Nurse		RN 60022950	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	806132	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3069247-01	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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