Individual provider · Type 1 NPI

Jack Earl Wilcox, NURSE PRACTITIONER

Pediatric Nurse Practitioner · Jacksonville, NC

NPI number 1265475347 Active

Practice location

120 Memorial Dr
Jacksonville, NC 28546-6328

Fax (910) 353-1536

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5005586 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1265475347

Jack Earl Wilcox, NURSE PRACTITIONER's National Provider Identifier is 1265475347, issued on Jun 14, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 8, 2015.