Jack Earl Wilcox in Jacksonville - Pediatrics
Jack Earl Wilcox - NPI 1265475347
Jack Earl Wilcox is a Pediatrics in Jacksonville, North Carolina. Jack Earl Wilcox practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jack Earl Wilcox is 1265475347. The last update date is 2015-07-08.
Jack Earl Wilcox's current location address is 120 Memorial Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103530581 and fax number 9103531536. The mailing address for Jack Earl Wilcox is 120 Memorial Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Earl Wilcox |
|---|---|
| Address | 120 Memorial Dr, Jacksonville, North Carolina |
| Phone Number | 9103530581 |
| Fax Number | 9103531536 |
| Sole Proprietor | N |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1265475347 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2015-07-08 |
Provider Mailing Address Detail
| Address | 120 Memorial Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466328 |
| Phone Number | 9103530581 |
| Fax Number | 9103531536 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 5005586 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7006283 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Earl Wilcox?
The Jack Earl Wilcox has been issued the NPI (National Provider Identifier) 1265475347 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jack Earl Wilcox?
The Jack Earl Wilcox is situated at 120 Memorial Dr, in the city of Jacksonville, state of NC, with the zip code 285466328.
What is Jack Earl Wilcox's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Earl Wilcox is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did Jack Earl Wilcox receive its 1265475347 assignment from the Centers for Medicare & Medicaid Services?
The Jack Earl Wilcox was assigned its 1265475347 on 2006-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jack Earl Wilcox's information last updated?
The Jack Earl Wilcox's information was last updated on 2015-07-08.