Individual
MRS. BRENDA RACHELLE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3660
Mailing address
7905 ETIENNE DR, CORPUS CHRISTI, TX 78414-6013
(361) 779-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
245161
LA
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP139078
TX
Other
Enumeration date
10/03/2018
Last updated
08/06/2026
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