MR. JACK EARL WILCOX NURSE PRACTITIONER
NPI 1265475347
Nurse Practitioner - Pediatrics in Jacksonville, NC

Active since June 14, 2006
120 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 353-1536 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Earl Wilcox Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK EARL WILCOX NURSE PRACTITIONER (NPI 1265475347) is an individual pediatrics provider in Jacksonville, North Carolina, licensed in North Carolina (5005586) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1265475347
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. JACK EARL WILCOXCredential: NURSE PRACTITIONER
Location Address120 MEMORIAL DRJacksonville, NC 28546-6328
Mailing Address120 Memorial DrJacksonville, NC 28546-6328 · (910) 353-0581 · Fax (910) 353-1536
Fax(910) 353-1536
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 8, 2015
NPI 1265475347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NC · 5005586
120 MEMORIAL DR, Jacksonville, NC 28546

Other Identifiers 1

Medicaid7006283NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Emergency Medicine
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Pediatrics)
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Physician Assistant
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Internal Medicine (Endocrinology, Diabetes & Metabolism)
120 MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Pediatrics)
120 MEMORIAL DR
JACKSONVILLE, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wilcox's NPI number?

The NPI number for Jack Wilcox is 1265475347. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jack Wilcox located?

Jack Wilcox practices at 120 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0581.

What is Jack Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jack Wilcox was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.