| Doctor Name: | LISA ANN MCCOY |
| NPI Number: | 1003957580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN0000122883 |
| Business Practice Address: | 415 State Of Franklin Rd Johnson City, TN - 376046034 |
| Business Phone Number: | 4239752200 |
| Business Fax Number: | |
| Mailing Address: | 1923 Jamestown Rd, JOHNSON CITY |
| State: | TN |
| Postal Code: | 376047640 |
| Phone Number: | 4239752200 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN0000122883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |