# MS. JACQUELINE J. MCCOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215926282
- **Gender:** F
- **Credential:** F.N.P., M.S.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 7871970 | ID | Yes |
| 363LF0000X | Family Nurse Practitioner | 628905 | TX | — |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 10/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1215926282 | — | ID |
| 05 | — | 175529001 | — | TX |