Mccoy, Jacqueline J.
Mccoy, Jacqueline J. is an individual health care provider with primary practice located at 4815 Alameda Ave , El Paso TX 79905-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccoy, Jacqueline J. can be contacted via phone (915) 521-7415.Contact Information
Primary practice address
4815 Alameda Ave
El Paso TX 79905-2705
Phone: (915) 521-7415
Fax: (915) 521-7920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 628905 | Texas |
Profile Details
| NPI number | 1215926282 |
|---|---|
| LBN Legal business name | Mccoy, Jacqueline J. |
| Credentials | F.N.P., M.S.N. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jun 13th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215926282 | NPPES |
| Texas | MEDICAID | 175529001 |
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