NPI 1174239677

Jesse L McCoy

Practitioner Licensed Practical Nurse Clarksville, TN

Practice location

Address: 495 Dunlop Ln STE 106, Clarksville, TN 37040-5296
Phone: (931) 272-2431

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 68923 (TN)

Other Licensed Practical Nurse providers in Tennessee →

Registry record

NPI: 1174239677
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2023
Record last updated: 27 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.