Individual
KRISTEN CARROLL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
(601) 366-8507
Mailing address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
(601) 366-8507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901718
MS
Other
Enumeration date
10/11/2016
Last updated
01/11/2021
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