Individual
JOHN J WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3505 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7242
(907) 416-6594
(800) 654-6250
Mailing address
3505 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7242
(907) 416-6594
(800) 654-6250
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN201676
AZ
363L00000X
Nurse Practitioner
Primary
243405
AK
363LF0000X
Family Nurse Practitioner
10018496
OR
Other
Enumeration date
09/25/2023
Last updated
02/09/2026
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