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General NPI Number Information
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NPI Number | 1588545040
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Entity Type | Organization
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Legal Business Name | ISA NURSING PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 725 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3855
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Country | US
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Telephone | 909-435-4707
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Fax | 909-415-9123
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Provider Business Mailing Address
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Address Line | 725 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3855
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Country | US
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Telephone | 909-435-4707
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Fax | 909-415-9123
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Authorized Official
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Title or Position | CEO
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Name | ISABELLE WILCOX
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Credential | MSN, FNP-C, PHN
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Telephone | 909-435-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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