JESSICA M BROCK
NPI 1962636233
Radiologic Technologist in Mandeville, LA

Q: What is Jessica Brock's NPI number?

The NPI number for Jessica Brock is 1962636233. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Q: What is Jessica Brock's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Brock was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2009

169 HIGHLAND DR, MANDEVILLE, LA 70471(504) 621-2912 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica M Brock NPPES

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

JESSICA M BROCK (NPI 1962636233) is an individual radiologic technologist in Mandeville, Louisiana, licensed in Louisiana (5969) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1962636233

Entity TypeIndividualFemale

Primary Taxonomy247100000X

Provider Legal NameJESSICA M BROCK

Location Address169 HIGHLAND DRMandeville, LA 70471

Mailing Address169 Highland DrMandeville, LA 70471 · (504) 621-2912

Phone(504) 621-2912

Sole ProprietorNo

Enumeration DateMay 14, 2009

✔ NPI 1962636233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

License✔ Licensed in LA · 5969

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

169 HIGHLAND DR, Mandeville, LA 70471

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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 Brock's NPI number?

The NPI number for Jessica Brock is 1962636233. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Jessica Brock located?

Jessica Brock practices at 169 Highland Dr, Mandeville, LA 70471. The listed phone number is (504) 621-2912.

What is Jessica Brock's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Jessica Brock was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.