Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DR. JESSICA LYNN BOWERSOCK ATC, PHD
NPI 1093636854
Student in an Organized Health Care Education/Training Program in Stillwater, OK

Active since July 24, 2026
1014 W OSAGE DR, STILLWATER, OK 74075(978) 328-3411 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessica Lynn Bowersock Atc, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA LYNN BOWERSOCK ATC, PHD (NPI 1093636854) is an individual student in an organized health care education/training program in Stillwater, Oklahoma and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1093636854
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSICA LYNN BOWERSOCKCredential: ATC, PHD
Location Address1014 W OSAGE DRStillwater, OK 74075-2137
Mailing Address1014 W Osage DrStillwater, OK 74075-2137
Sole ProprietorYes
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1093636854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1014 W OSAGE DR, Stillwater, OK 74075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bowersock's NPI number?

The NPI number for Jessica Bowersock is 1093636854. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Jessica Bowersock located?

Jessica Bowersock practices at 1014 W Osage Dr, Stillwater, OK 74075. The listed phone number is (978) 328-3411.

What is Jessica Bowersock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Bowersock was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.