Individual provider · Type 1 NPI
Jason Edwin Wilcox, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Hazlehurst, GA
NPI number
1053095547
Active
Practice location
163 S Tallahassee St
Hazlehurst, GA 31539-6465
Other practice locations
- 1422 Knob Hill Cir, Evans, GA 30809-6678 · (912) 375-8483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN282877 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053095547
Jason Edwin Wilcox, PMHNP-BC's National Provider Identifier is 1053095547, issued on Jun 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hazlehurst, GA. The record was last updated on Jul 20, 2026.