Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA M BROCK
ActiveJESSICA M BROCK is a Radiologic Technologist healthcare provider located in MANDEVILLE, Louisiana. NPI 1962636233 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · MANDEVILLE, LA
Registration Details
- NPI Number
- 1962636233
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2009 (17.271727052297 yrs)
- Last Updated
- May 14, 2009
- License
-
5969 (LA)
Practice Information
- Address
-
169 HIGHLAND DRMANDEVILLE, LA, 70471Browse LA providers · Browse ZIP 70471
- Phone
- 5046212912
- Primary Specialty
-
Radiologic Technologist
247100000X
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.