Individual provider · Type 1 NPI

Andrea Bockness

Military Health Care Provider · Portsmouth, VA

NPI number 1861376014 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

1901 Vince Rd
Virginia Beach, VA 23464-8228

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1861376014

Andrea Bockness's National Provider Identifier is 1861376014, issued on Aug 1, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 1, 2025.