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

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: July 26, 2026.

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
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

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 with the weekly NPPES data releases published by CMS.