Mr Jack Earl Wilcox, NURSE PRACTITIONER - Nurse Practitioner in Jacksonville, NC

Mr Jack Earl Wilcox, NURSE PRACTITIONER is a Nurse Practitioner - Pediatrics based in Jacksonville, North Carolina. Mr Jack Earl Wilcox is licensed to practice in North Carolina (license number 5005586) and his current practice location is 120 Memorial Dr, Jacksonville, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 353-0581.

NPI number for Mr Jack Earl Wilcox is 1265475347 and his current mailing address is 120 Memorial Dr, Jacksonville, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265475347.

Contact Information

Mr Jack Earl Wilcox, NURSE PRACTITIONER
120 Memorial Dr,
Jacksonville, NC 28546-6328
(910) 353-0581
(910) 353-1536

Map and Direction




Provider's Profile

Full NameMr Jack Earl Wilcox
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location120 Memorial Dr, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265475347
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/08/2015

Medical Identifiers

Medical identifiers for Mr Jack Earl Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265475347NPI-NPPES
7006283MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 5005586 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Earl Wilcox is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jack Earl Wilcox, NURSE PRACTITIONER
120 Memorial Dr,
Jacksonville, NC 28546-6328

Ph: (910) 353-0581
Mr Jack Earl Wilcox, NURSE PRACTITIONER
120 Memorial Dr,
Jacksonville, NC 28546-6328

Ph: (910) 353-0581

Reviews and Comments


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