Dr. Jessica D Bocook, D.O.
Family Medicine, Adult Medicine in Southport, NC. Individual provider (NPI-1).
NPI number1861406423
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1861406423
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica D Bocook
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2006
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 2010-00929 | NC | Yes |
Other names
- Jessica D Bradt (Former Name)
Practice location
906 N Howe StSouthport, NC 28461
Phone 910-454-1197 · Fax 910-454-4330
Mailing address
924 N Howe StSouthport, NC 28461-3038
Phone 910-457-3806 · Fax 910-457-3842
Other practice locations
906 N Howe St
Southport, NC 28461
Southport, NC 28461
Phone 910-454-1197 · Fax 910-454-4330
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