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Individual
MRS. JACQUELINE A MCCOY
Active
Individual
MRS. JACQUELINE A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP MS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00050601
WA
363L00000X
Nurse Practitioner
AP30000243
WA
Other
Enumeration date
01/18/2006
Last updated
09/11/2025
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