Individual
JESSICA MARIE BOCKENSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
285 E STATE ST STE 520, COLUMBUS, OH 43215-4359
(614) 566-9683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-123003
OH
208M00000X
Hospitalist Physician
35123003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197819
—
OH
Enumeration date
03/22/2012
Last updated
05/29/2025
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