MR. JERRY ELLIOTT WILCOXON MACCCSLP
NPI 1366796476
Speech-Language Pathologist in Jacksonville, FL

Q: What is Jerry Wilcoxon's NPI number?

The NPI number for Jerry Wilcoxon is 1366796476. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Q: What is Jerry Wilcoxon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Wilcoxon was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 29, 2012

4048 GRANDE BLVD, JACKSONVILLE, FL 32250(904) 566-6031 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jerry Elliott Wilcoxon Macccslp NPPES

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

MR. JERRY ELLIOTT WILCOXON MACCCSLP (NPI 1366796476) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA 10677) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1366796476

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. JERRY ELLIOTT WILCOXONCredential: MACCCSLP

Location Address4048 GRANDE BLVDJacksonville, FL 32250-3021

Mailing Address4048 Grande BlvdJacksonville, FL 32250-3021 · (904) 566-6031

Phone(904) 566-6031

Sole ProprietorNo

Enumeration DateOctober 29, 2012

Last NPPES UpdateNovember 9, 2015

✔ NPI 1366796476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA 10677

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4048 GRANDE BLVD, Jacksonville, FL 32250

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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 Jerry Wilcoxon's NPI number?

The NPI number for Jerry Wilcoxon is 1366796476. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Jerry Wilcoxon located?

Jerry Wilcoxon practices at 4048 Grande Blvd, Jacksonville, FL 32250. The listed phone number is (904) 566-6031.

What is Jerry Wilcoxon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jerry Wilcoxon was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.