WILLIE JACKSON II – Day Training/Habilitation Specialist, NPI 1700995792

WILLIE JACKSON II is a healthcare provider. based in Jacksonville, Florida. specializing in Day Training/Habilitation Specialist. The NPI Number for WILLIE JACKSON II is 1700995792

Main info

Male
Sole Proprietor
Name
WILLIE JACKSON II
NPI
1700995792
Phone
(904) 265-0340
Address
1860 MEMORY LN
Enumeration Date
30 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for WILLIE JACKSON II

  • 1860, Memory Lane, Hyde Grove, Jacksonville, Duval County, Florida, 32210, United States

    JACKSONVILLE, FL 322101308

    Phone: (904) 265-0340

    Fax: (904) 265-1906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32210)

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Reviews

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Frequently asked questions

Can I use this page to confirm WILLIE JACKSON II's NPI?
Yes. WILLIE JACKSON II is listed with NPI 1700995792 in the public NPI dataset.
Does the file indicate WILLIE JACKSON II is practicing under active NPI?
Directory data currently reports WILLIE JACKSON II as active.
What taxonomy line describes WILLIE JACKSON II?
For research purposes, treat WILLIE JACKSON II as Day Training/Habilitation Specialist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect WILLIE JACKSON II on a map?
Expect Jacksonville, Florida as a primary anchor for WILLIE JACKSON II unless the record lists multiple sites.
Is the information about WILLIE JACKSON II up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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