# BRENDA FAYE GAVIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265812424
- **Gender:** F
- **Credential:** APRN FNP-C AG-ACNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | R900157 | MS | — |
| 363LF0000X | Family Nurse Practitioner | 1-087281 | AL | — |
| 363LG0600X | Gerontology Nurse Practitioner | 1-087281 | AL | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 10/02/2020