Individual
NICHOLE A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC
Contact information
Practice address
188 W HEBBLE AVE, FAIRBORN, OH 45324-4960
(937) 754-5911
Mailing address
PO BOX 3095, DUBLIN, OH 43016-0046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0030582
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0030582
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
LE-00039674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030582
OHIO BOARD OF NURSING
OH
01
—
2021184747
ANCC
OH
01
—
402430
OHIO BOARD OF NURSING RN
OH
Enumeration date
01/05/2022
Last updated
01/09/2023
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