Individual provider · Type 1 NPI

Derek Jason Brock, CNP

Family Nurse Practitioner · Alliance, OH

NPI number 1588094882 Active

Practice location

149 E Simpson St
Alliance, OH 44601-4219

Fax (330) 829-6688

Mailing address

PO Box 932100
Cleveland, OH 44193-0008

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCOA.15415-NP (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1588094882

Derek Jason Brock, CNP's National Provider Identifier is 1588094882, issued on Nov 22, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Alliance, OH. The record was last updated on Jul 1, 2015.