Brock-Garcia, Jennifer

Brock-Garcia, Jennifer is an individual health care provider with primary practice located at 2423 Williams Dr , Georgetown TX 78628-3200. 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 (877) 800-5722.

Contact Information

Primary practice address
2423 Williams Dr Georgetown TX 78628-3200
Phone: (877) 800-5722
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 AP 60182788 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 806132 Texas

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 May 10th, 2013 - about 11 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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