Individual
CHERYL R MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R822567
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04904532
—
MS
Enumeration date
09/28/2006
Last updated
10/12/2017
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