JESSICA GRAY BROCK


Address: 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685
Phone: 9197841410

JESSICA GRAY BROCK (NPI# 1699925537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699925537
Entity Type Individual
Full Name JESSICA GRAY BROCK
Other Name JESSICA GRAY EATON
Credential PA-C
Practice Address 4207 Lake Boone Trl Ste 220
Raleigh
NC 27607-6685
Practice Telephone 9197841410
Mailing Telephone 9197841410
Enumeration Date 2008-09-29
Last Update Date 2020-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-01386 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA BROCK

NPI Name Taxonomy Address Enumeration
1356909360 Jessica Beth Brock Early Intervention Provider Agency 42 Gwendolyn Pl, East Islip, NY 11730-3220 2019-06-04
1902125024 Jessica C Brock Physician Assistant Endocrinology Clinic, 740 S. Limestone, Lexington, KY 40536-0284 2010-05-28
1962636233 Jessica M Brock Radiologic Technologist 169 Highland Dr, Mandeville, LA 70471 2009-05-14
1376157578 Jessica Shae Brock Technician 87 Swierkos Dr, Moundsville, WV 26041-4209 2020-09-04
1851846802 Jessica Suzanne Brock Specialist/Technologist 180 Hansen Ct, Wood Dale, IL 60191-1121 2016-08-19
1891191102 Jessica Brock Physical Therapist 125 Dillmont Dr, Columbus, OH 43235-4658 2014-11-13
1295148914 Jessica Marie Brock Nurse Practitioner 1010 Main St S, Mc Kee, KY 40447-7089 2014-06-10
1740582915 Jessica Brock Licensed Practical Nurse 1680 Walden Ave, Cheektowaga, NY 14225-4914 2010-11-22
1053540450 Jessica Nicole Brock Nurse Practitioner 5955 Airport Blvd, Mobile, AL 36608 2009-07-07

Office Location

Street Address 4207 LAKE BOONE TRL STE 220
City RALEIGH
State NC
Zip Code 27607-6685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932174372 Robin Frederick Koeleveld Neurological Surgery 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 2006-02-21
1922573823 Allyssa Blaire Newton Nurse Practitioner 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 2018-10-06
1750587036 John A Engler Neurological Surgery 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 2007-06-25
1073588000 Samuel K St Clair Neurological Surgery 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 2006-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
Find all providers in zip 27607

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457961682 Megan Kathleen Brown Physician Assistant 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 2020-08-03
1124640651 Kayla Marie Sincock Physician Assistant 12205 Harcourt Dr, Raleigh, NC 27613-5603 2020-05-06
1093340531 Hannah Stanifer Physician Assistant 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 2020-03-05
1962035642 Brianna Stolz Physician Assistant 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 2020-02-20
1316577737 Jacey Elizabeth Byers Physician Assistant 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 2020-01-24
1033756598 Julie A Romeis Physician Assistant 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 2019-12-04
1346886769 Pooja Parmar Physician Assistant 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 2019-11-20
1649829557 Bryan Edwards Physician Assistant 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 2019-09-04
1790343192 Savanah Palen Mullen Physician Assistant 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 2019-05-31
1356906184 Andrew Paul Apicella Physician Assistant 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 2019-05-07
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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