Doctor Name: | MS. CHRISTY JOY MCCOY |
NPI Number: | 1245374404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3018P |
Business Practice Address: | 216 Locust Grove Way Versailles, KY - 403838806 |
Business Phone Number: | 8594926783 |
Business Fax Number: | 8592191125 |
Mailing Address: | 216 Locust Grove Way, VERSAILLES |
State: | KY |
Postal Code: | 403838806 |
Phone Number: | 8594926783 |
Fax Number: | 8592191125 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3018P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |