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NPI Code Detail

MEDICARE: HANNAH MCCOY NP

MEDICARE:   HANNAH  MCCOY  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3-001836AL
2363LF0000XFamily Nurse Practitioner888837MS

General Provider Information

NPI Number : 1013985225
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH MCCOY NP
Provider Business Mailing Address
First Line : 830 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4996
Country : US
Telephone Number : 606-327-4000
Fax Number : 662-377-2920
Provider Business Practice Location Address
First Line : 830 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4996
Country : US
Telephone Number : 606-327-4000
Fax Number : 662-377-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/18/2024

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