Individual provider · Type 1 NPI
Jessica D. Bocook, DO
Adult Medicine Physician · Southport, NC
NPI number
1861406423
Active
Practice location
906 N Howe St
Southport, NC 28461
Fax (910) 454-4330
Mailing address
924 N Howe St
Southport, NC 28461-3038
Other practice locations
- 906 N Howe St, Southport, NC 28461 · (910) 454-1197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 2010-00929 (NC) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1861406423
Jessica D. Bocook, DO's National Provider Identifier is 1861406423, issued on Jul 28, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Southport, NC. The record was last updated on Feb 19, 2019.