Wilcox, Jennell

Wilcox, Jennell is an sole proprietor health care provider with primary practice located at 1745 E 24Th St , Jacksonville FL 32206-2619. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Wilcox, Jennell can be contacted via phone (904) 994-2795.

Contact Information

Primary practice address
1745 E 24Th St Jacksonville FL 32206-2619
Phone: (904) 994-2795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X Florida
Nursing Service Related Providers / Adult Companion 372600000X Florida
Nursing Service Related Providers / Home Health Aide 374U00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1316694748
LBN Legal business name Wilcox, Jennell
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2022
Last updated Mar 5th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316694748 NPPES
Florida Other 236990 HOMEMAKERS & COMPANION SVCS
Florida Other OTA17454 HOMEMAKERS & COMPANION SVCS

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