Jessica Prock
NPI #1215430061 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1215430061
- Entity Type
- Individual
- Name
- Jessica Prock
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- General Practice
- Enumeration Date
- Mar 16, 2018
- Last Updated
- Sep 25, 2025
Practice Location
- Address
- 620 JOHN PAUL JONES CIR
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23708-2111
- Phone
- (757) 953-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Student in an Organized Health Care Education/Training Program |
| Military Health Care Provider |
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