JESSICA M. BROCK – NPI #1962636233
Radiologic Technologist

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

JESSICA BROCK is a radiologic technologist located in MANDEVILLE, LA. NPPES has assigned the NPI number 1962636233 to JESSICA BROCK on May 14, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA BROCK below.

NPI Profile for
JESSICA M. BROCK

NPI Number
1962636233
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA M. BROCK
Primary location
169 HIGHLAND DR
MANDEVILLE, LA 70471
Phone: (504) 621-2912 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247100000X
- Radiologic Technologist (Primary)
LA 5969

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.