Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Renee Pacheco, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1548793284

Kelly Renee Pacheco, FNP-BC is a Family Nurse Practitioner in Bandera, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona, Mississippi and Texas.

Licensed in
AZ, MS, TX
In the registry since
2017
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

768 County Road 131
Bandera, TX 78003-4216
Phone: (810) 931-2475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20823 N Cave Creek Rd Ste 103, Phoenix, AZ 85024-4469 — (623) 439-5585
  • 5699 Getwell Rd Ste 3, Southaven, MS 38672-7312 — (662) 420-3264

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 255690 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 805693 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP144798 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 903937 (MS)

Record details

NPI number1548793284
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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