Individual provider · Type 1 NPI

Jessica Lynn Bowersock, ATC, PhD

Student in an Organized Health Care Education/Training Program · Stillwater, OK

NPI number 1093636854 Active

Practice location

1014 W Osage Dr
Stillwater, OK 74075-2137

Call (978) 328-3411 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1093636854

Jessica Lynn Bowersock, ATC, PhD's National Provider Identifier is 1093636854, issued on Jul 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stillwater, OK. The record was last updated on Jul 24, 2026.