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NPI Code Detail

MEDICARE: MS. BRITTANY MICHELLE MCCOY FNP

MEDICARE: MS. BRITTANY MICHELLE MCCOY FNP
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 PractitionerMCCO-TZT4DRNC

General Provider Information

NPI Number : 1902424096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY MICHELLE MCCOY FNP
Provider Business Mailing Address
First Line : 3004 MARYLAND DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4114
Country : US
Telephone Number : 252-916-4538
Fax Number :
Provider Business Practice Location Address
First Line : 1130 GODWIN DR
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-6828
Country : US
Telephone Number : 252-789-0401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2020
Last Update Date : 07/08/2020

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