Active NPI
Jessica Leigh Wilkerson
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1750184149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- L24000296829
- Practice address
- 8297 Oak Crossing Dr W
Jacksonville, FL 32244-6946 - Phone
- (904) 572-2953
- Fax
- (904) 572-2953
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | L24000296829 | FL | Primary |
Addresses
Primary practice location
8297 Oak Crossing Dr W
Jacksonville, FL 32244-6946
Mailing address
6625 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6126
Phone (904) 572-2953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L24000296829 | FL | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1750184149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 ARGYLE FOREST BLVD STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446126",
"telephone_number": "904-572-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8297 OAK CROSSING DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446946",
"telephone_number": "904-572-2953",
"fax_number": "904-572-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": "L24000296829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.