Wilcox, Jennell
Wilcox, Jennell is an sole proprietor health care provider with primary practice located at 1745 E 24Th St , Jacksonville FL 32206-2619. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Wilcox, Jennell can be contacted via phone (904) 994-2795.Contact Information
Primary practice address
1745 E 24Th St
Jacksonville FL 32206-2619
Phone: (904) 994-2795
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | Florida | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | Florida | |
Nursing Service Related Providers / Adult Companion | 372600000X | Florida | |
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Agencies / Home Health | 251E00000X |
Profile Details
NPI number | 1316694748 |
---|---|
LBN Legal business name | Wilcox, Jennell |
Credentials | Certified Occupational Therapy Assistant (COTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 5th, 2022 |
Last updated | Mar 5th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316694748 | NPPES |
Florida | Other | 236990 | HOMEMAKERS & COMPANION SVCS |
Florida | Other | OTA17454 | HOMEMAKERS & COMPANION SVCS |
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