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

Jessica Prock

Individual provider General Practice Physician · NPI 1215430061

Jessica Prock is a General Practice Physician in Portsmouth, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-5008
Show map & directions

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

Additional practice locations (1)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (715) 379-7471

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0102206832 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Military Health Care Provider Taxonomy 171000000X · Licence 0102206832 (VA)

Record details

NPI number1215430061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address620 John Paul Jones Cir, Portsmouth, VA 23708-2111

Other providers in Portsmouth