Healthcare Provider Details

I. General information

NPI: 1487045621
Provider Name (Legal Business Name): BRENDON PAUL HELSTON FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 34TH ST
BAKERSFIELD CA
93301-2237
US

IV. Provider business mailing address

617 W MAIN ST
HOHENWALD TN
38462-1355
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-4647
  • Fax:
Mailing address:
  • Phone: 931-796-4901
  • Fax: 931-796-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number255442
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number614863
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number29618
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95004004
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: