Individual
JOCELYN LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-1475
Mailing address
2663 W OLD STONE RD, PERU, IN 46970-8093
(765) 469-2335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28220551A
IN
363L00000X
Nurse Practitioner
F06210223
IN
Other
Enumeration date
05/27/2021
Last updated
04/10/2024
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