Individual
JENNIFER MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
28720 CANWOOD ST STE 108, AGOURA HILLS, CA 91301-9745
(805) 791-4812
Mailing address
4890 READ RD, MOORPARK, CA 93021-2219
(805) 791-4812
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2948
CA
Other
Enumeration date
10/21/2020
Last updated
11/03/2020
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