Brocker, Jeri Grace
Brocker, Jeri Grace is an individual health care provider with primary practice located at 1000 Pine St , Texarkana TX 75501-5100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brocker, Jeri Grace can be contacted via phone (903) 798-8000.Contact Information
Primary practice address
1000 Pine St
Texarkana TX 75501-5100
Phone: (903) 798-8000
Fax: (615) 846-3006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 540942 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP121929 | Texas |
Profile Details
| NPI number | 1477893873 |
|---|---|
| LBN Legal business name | Brocker, Jeri Grace |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2013 |
| Last updated | Sep 3rd, 2021 - about 5 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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