person
Mrs. Jessica Nicole Brock, CRNP
Acute Care Nurse Practitioner in Mobile, Alabama
NPI 1053540450

Jessica Nicole Brock is an Acute Care Nurse Practitioner based in Mobile, AL and is specialized in Acute Care. Jessica Nicole Brock practices in Mobile, AL and has the professional credentials of CRNP. The NPI Number for Jessica Nicole Brock is 1053540450 and holds a License No. 1-106242 (Alabama).

The current practice location address for Jessica Nicole Brock is 5955 Airport Blvd, Mobile, AL and can be reached out via phone at 251-633-0573 and via fax at 251-633-7367. You can also correspond with Jessica Nicole Brock through the mailing address at PO BOX 7987, MOBILE, AL - 36670-0987 (mailing address contact number: 251-633-0573).

Location: 5955 Airport Blvd, Mobile, AL, 36670-0987
person
Provider Profile Details
NPI Number
1053540450
Provider Name
Jessica Nicole Brock
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
5955 Airport Blvd, Mobile, AL, 36670-0987
Phone Number
251-633-0573
Fax Number
251-633-7367
Provider Enumeration Date
07/07/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102I502393 01 AL MEDICARE
3092229 01 AL UHC
512-05477 01 AL BCBS
134189 05 AL
222576 05 AL
9582378 01 AL AETNA
P00927530 01 AL RR MEDICARE
Z12803 01 AL VIVA HEALTH
02482035 01 MS MS MEDICAID
510-49658 01 AL BCBS
214094 05 AL
512-05479 01 AL BCBS
institution
Provider Business Practice Location Address Details
Address
5955 Airport Blvd
City
State
Zip
36608
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider Business Mailing Address Details
Address
Po Box 7987
City
State
Zip
36670-0987
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
1-106242 (Alabama)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
1-106242 (Alabama)
Definition
Definition to come...
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