Individual provider Active NPI

Abigail Wilcox, MSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1831533397
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9181632 Issued in FL
Practice address
4788 Hodges Blvd
Suite B-108
Jacksonville, FL 32224-7222
Phone
(904) 223-9100
Fax
(904) 223-9282
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9181632 FL Primary

Addresses

Primary practice location

4788 Hodges Blvd
Suite B-108
Jacksonville, FL 32224-7222

Mailing address

4788 Hodges Blvd
Suite B-108
Jacksonville, FL 32224-7222
Phone (904) 223-9100

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9181632FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Optical Group Past Accepting new patients
Pediatrica Health of Florida, LLC PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1831533397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD",
            "address_2": "SUITE B-108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247222",
            "telephone_number": "904-223-9100",
            "fax_number": "904-223-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD",
            "address_2": "SUITE B-108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247222",
            "telephone_number": "904-223-9100",
            "fax_number": "904-223-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ABIGAIL",
        "credential": "MSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9181632",
            "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 Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.