Wilcox, Jason Edwin

Wilcox, Jason Edwin is an individual health care provider with primary practice located at 163 S Tallahassee St , Hazlehurst GA 31539-6465. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Wilcox, Jason Edwin can be contacted via phone (912) 699-6447.

Contact Information

Primary practice address
163 S Tallahassee St Hazlehurst GA 31539-6465
Phone: (912) 699-6447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN282877 Georgia

Profile Details

NPI number 1053095547
LBN Legal business name Wilcox, Jason Edwin
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 16th, 2023 - about 3 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.

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