Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica C Brock, PA-C

Individual provider Physician Assistant · NPI 1902125024

Jessica C Brock, PA-C is a Physician Assistant in Louisville, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4423 Bardstown Rd
Louisville, KY 40218-3235
Phone: (502) 749-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902125024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 28, 2010
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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