JASON EDWIN WILCOX PMHNP-BC NPI 1053095547

NPI Information

  • NPI: 1053095547
  • Provider Name: JASON EDWIN WILCOX, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 163 S TALLAHASSEE ST
    HAZLEHURST, GA
    ZIP 31539
  • Phone: (912) 699-6447

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NPI Details

Jason Edwin Wilcox, PMHNP-BC is a psychiatric/mental health nurse practitioner in Hazlehurst, GA with 2 years of experience. Jason Edwin Wilcox, PMHNP-BC NPI is 1053095547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

163 S TALLAHASSEE ST
HAZLEHURST, GA
ZIP 31539-465
Phone: (912) 699-6447

The NPI 1053095547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2023 and was last updated on 6/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN282877GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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