National Provider Identifier
Jessica Brock, LPN
Jessica Brock, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.
Profile Overview
- NPI
- 1740582915
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 22, 2010
- Last Updated
- November 22, 2010
Practice Location
- 1680 Walden Ave
- Cheektowaga, NY 14225-4914
Phone: (716) 894-7777
Mailing Address
- 64 14Th St
- Jamestown, NY 14701-3031
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1740582915
- Entity Type
- Individual
- Last Name
- Brock
- First Name
- Jessica
- Credential
- LPN
- Mailing Street Address
- 64 14Th St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-3031
- Mailing Country
- US
- Mailing Phone
- (716) 661-0560
- Practice Street Address
- 1680 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4914
- Practice Country
- US
- Practice Phone
- (716) 894-7777
- Practice Fax
- (716) 794-0604
- Enumeration Date
- November 22, 2010
- Last Updated
- November 22, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)