MR. JERRY ELLIOTT WILCOXON MACCCSLP NPI 1366796476

NPI Information

  • NPI: 1366796476
  • Provider Name: MR. JERRY ELLIOTT WILCOXON, MACCCSLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 4048 GRANDE BLVD
    JACKSONVILLE, FL
    ZIP 32250
  • Phone: (904) 566-6031

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NPI Details

MR. Jerry Elliott Wilcoxon, MACCCSLP is a speech language pathologist in Jacksonville, FL. The provider is 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. MR. Jerry Elliott Wilcoxon, MACCCSLP NPI is 1366796476. 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:

4048 GRANDE BLVD
JACKSONVILLE, FL
ZIP 32250-021
Phone: (904) 566-6031

The enumeration date for this NPI number is 10/29/2012 and was last updated on 11/9/2015.

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
1235Z00000XSpeech-Language PathologistSA 10677FLORIDAYes

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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