WILLIE JACKSON II - NPI 1700995792 - Day Training/Habilitation Specialist in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

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About Willie Jackson Ii NPPES

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

WILLIE JACKSON II (NPI 1700995792) is an individual day training/habilitation specialist in Jacksonville, Florida and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1700995792

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameWILLIE JACKSON II

Location Address1860 MEMORY LNJacksonville, FL 32210-1308

Mailing Address1860 Memory LnJacksonville, FL 32210-1308 · (904) 265-0340 · Fax (904) 265-1906

Phone(904) 265-0340

Fax(904) 265-1906

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700995792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

1860 MEMORY LN, Jacksonville, FL 32210

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Frequently Asked Questions

What is Willie Jackson Ii's NPI number?

The NPI number assigned to this healthcare provider is 1700995792, enumerated as an "individual" on August 30, 2006.

Where is the provider located?

The provider is located at 1860 MEMORY LN JACKSONVILLE, FL 32210 and the phone number is (904) 265-0340.

What is the provider's specialty?

Day Training/Habilitation Specialist with taxonomy code 373H00000X.