Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jack Earl Wilcox, NURSEPRACTITIONER

Individual provider Pediatric Nurse Practitioner · NPI 1265475347

Mr. Jack Earl Wilcox, NURSEPRACTITIONER is a Pediatric Nurse Practitioner in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

120 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 353-1536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5005586 (NC)

Record details

NPI number1265475347
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 8, 2015

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