Individual
JESSICA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2000
Mailing address
63 ZINNIA TRL, PALM COAST, FL 32164-5851
(386) 538-1904
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11026445
FL
363LA2200X
Adult Health Nurse Practitioner
11026445
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
11026445
FL
363LG0600X
Gerontology Nurse Practitioner
11026445
FL
Other
Enumeration date
05/22/2023
Last updated
05/25/2023
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