Individual
ILLA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
525 W ACACIA ST, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
1001 GALAXY WAY, STE. 400, CONCORD, CA 94520-5725
(925) 225-5837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95002878
CA
Other
Enumeration date
09/22/2015
Last updated
01/03/2022
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