Provider Demographics
NPI:1235803016
Name:GARCES, BRENDA JACKELYN (MSN-AGACNP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:JACKELYN
Last Name:GARCES
Suffix:
Gender:F
Credentials:MSN-AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13702 TOPAZ LK
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3663
Mailing Address - Country:US
Mailing Address - Phone:956-784-2449
Mailing Address - Fax:
Practice Address - Street 1:13702 TOPAZ LK
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3663
Practice Address - Country:US
Practice Address - Phone:956-784-2449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04781523363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care