Wilcox, Jack Earl

Wilcox, Jack Earl is an individual health care provider with primary practice located at 120 Memorial Dr , Jacksonville NC 28546-6328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Wilcox, Jack Earl can be contacted via phone (910) 353-0581.

Contact Information

Primary practice address
120 Memorial Dr Jacksonville NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 353-1536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5005586 North Carolina

Profile Details

NPI number 1265475347
LBN Legal business name Wilcox, Jack Earl
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265475347 NPPES
North Carolina MEDICAID 7006283

Popular Providers