Individual
MRS. JACQUELINE A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP MS
Contact information
Practice address
555 DAYTON ST, STE C, EDMONDS, WA 98020
(425) 774-4673
(425) 774-0690
Mailing address
555 DAYTON ST, STE C, EDMONDS, WA 98020
(425) 774-4673
(425) 774-0690
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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