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Individual
MS. JACQUELINE J. MCCOY
Active
Individual
MS. JACQUELINE J. MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P., M.S.N.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7871970
ID
363LF0000X
Family Nurse Practitioner
628905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215926282
—
ID
05
—
175529001
—
TX
Enumeration date
10/20/2005
Last updated
10/15/2025
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