Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA D BOCOOK, D.O.
Active Sole ProprietorDR. JESSICA D BOCOOK, D.O. is a Adolescent Medicine healthcare provider located in SOUTHPORT, North Carolina. NPI 1861406423 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SOUTHPORT, NC
Registration Details
- NPI Number
- 1861406423
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.041770677865 yrs)
- Last Updated
- Feb 19, 2019
- License
-
2010-00929 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
906 N HOWE STSOUTHPORT, NC, 28461Browse NC providers · Browse ZIP 28461
- Phone
- 9104541197
- Fax
- 9104544330
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.