Brock-Garcia, Jennifer

Brock-Garcia, Jennifer is an individual health care provider with primary practice located at 15715 De Peer Ave , Austin TX 78717-5319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brock-Garcia, Jennifer can be contacted via phone (512) 662-1668.

Contact Information

Primary practice address
15715 De Peer Ave Austin TX 78717-5319
Phone: (512) 662-1668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 60022950 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60182788 Washington

Profile Details

NPI number 1215263595
LBN Legal business name Brock-Garcia, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Nov 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215263595 NPPES
Texas MEDICAID 3069247-01

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