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Individual
STACY LYNN MCCOY
Active
Individual
STACY LYNN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.350263
OH
363LF0000X
Family Nurse Practitioner
Primary
021098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243325
—
OH
01
—
H366490
MEDICARE PTAN
OH
Enumeration date
07/27/2010
Last updated
04/15/2025
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