Mccoy, Andrea Jeanne

Mccoy, Andrea Jeanne is an individual health care provider with primary practice located at 4050 W Memorial Rd , Oklahoma City OK 73120-8382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mccoy, Andrea Jeanne can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Oklahoma City OK 73120-8382
Phone: (405) 608-3800
Fax: (405) 608-3838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X R0033012 Oklahoma

Profile Details

NPI number 1033106869
LBN Legal business name Mccoy, Andrea Jeanne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033106869 NPPES
Oklahoma MEDICAID 200034910A

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