Doctor Name: | JENNIFER A MCCOY |
NPI Number: | 1811021124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009153 |
Business Practice Address: | 111 Nason Dr Ste 101 Roaring Spring, PA - 166731212 |
Business Phone Number: | 8142245132 |
Business Fax Number: | 8142242903 |
Mailing Address: | 111 Nason Dr, Ste 101 ROARING SPRING |
State: | PA |
Postal Code: | 166731212 |
Phone Number: | 8142245132 |
Fax Number: | 8142242903 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | SP009153 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |