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Jason Edwin Wilcox, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Hazlehurst, Georgia
NPI 1053095547

Jason Edwin Wilcox is a Psychiatric/Mental Health Nurse Practitioner based in Hazlehurst, GA and is specialized in Psychiatric/Mental Health. Jason Edwin Wilcox practices in Hazlehurst, GA and has the professional credentials of PMHNP-BC. The NPI Number for Jason Edwin Wilcox is 1053095547 and holds a License No. RN282877 (Georgia).

The current practice location address for Jason Edwin Wilcox is 163 S Tallahassee St, Hazlehurst, GA and can be reached out via phone at 912-699-6447.

Location: 163 S Tallahassee St, Hazlehurst, GA, 31539-6465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053095547
Provider Name
Jason Edwin Wilcox
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
163 S Tallahassee St, Hazlehurst, GA, 31539-6465
Phone Number
912-699-6447
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
163 S Tallahassee St
City
Hazlehurst
State
Georgia
Zip
31539-6465
Phone Number
912-699-6447
Fax Number
person
Provider Business Mailing Address Details
Address
163 S Tallahassee St
City
Hazlehurst
State
Georgia
Zip
31539-6465
Phone Number
912-699-6447
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN282877 (Georgia)
Definition
Definition to come...
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