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

Active since August 30, 2006
1860 MEMORY LN, JACKSONVILLE, FL 32210(904) 265-0340(904) 265-1906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 NPPES & CMS

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

What is Willie Jackson Ii's NPI number?

The NPI number for Willie Jackson Ii is 1700995792. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Willie Jackson Ii located?

Willie Jackson Ii practices at 1860 Memory Ln, Jacksonville, FL 32210. The listed phone number is (904) 265-0340.

What is Willie Jackson Ii's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Willie Jackson Ii was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.