Individual
MS. JACQUELINE J. MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P., M.S.N.
Contact information
Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
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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