Individual
JEWEL D MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE'S AIDE
Contact information
Practice address
209 S CEDAR LN, PULASKI, TN 38478-3502
(931) 363-5506
Mailing address
1309 MEADOWBROOK DR, PULASKI, TN 38478-5002
(931) 363-5731
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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