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

Jessica M Brock

Individual provider Radiologic Technologist · NPI 1962636233

Jessica M Brock is a Radiologic Technologist in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.

Licensed in
LA
In the registry since
2009

Practice location Address checks out

169 Highland Dr
Mandeville, LA 70471
Phone: (504) 621-2912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 5969 (LA)

Record details

NPI number1962636233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2009
Last updated in NPPESMay 14, 2009
Mailing address169 Highland Dr, Mandeville, LA 70471

Other providers in Mandeville