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

Mr. Jerry Elliott Wilcoxon, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1366796476

Mr. Jerry Elliott Wilcoxon, MACCCSLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

4048 Grande Blvd
Jacksonville, FL 32250-3021
Phone: (904) 566-6031
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA 10677 (FL)

Record details

NPI number1366796476
Entity typeIndividual (Type 1)
GenderMale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESNovember 9, 2015

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