| Ms Jacqueline J Mccoy, FNP, MSN | |
|
207 1st St S, Nampa, ID 83651-3703 | |
| (208) 466-7869 | |
| (208) 466-5359 |
| Full Name | Ms Jacqueline J Mccoy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 207 1st St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215926282 | NPI | - | NPPES |
| 175529001 | Medicaid | TX | |
| 1215926282 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 628905 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 7871970 (Idaho) | Primary |
| Entity Name | Texas Tech University Health Sciences Center El Paso |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
| Entity Name | Salud Y Vida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287287 PECOS PAC ID: 9830115229 Enrollment ID: O20051014000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline J Mccoy, FNP, MSN Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Ms Jacqueline J Mccoy, FNP, MSN 207 1st St S, Nampa, ID 83651-3703 Ph: (208) 466-7869 |
Dr. Janet Lea Gilbreath, DNP, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 W Foxglove Dr, Nampa, ID 83686 Phone: 630-854-4115 Fax: 208-288-4279 | |
Mr. Ryan Scott Harvey, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr Ste 180, Nampa, ID 83687 Phone: 208-322-1680 Fax: 208-472-5970 | |
Karen L Godard, RNC, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 3rd St S, Nampa, ID 83651 Phone: 208-475-5700 Fax: 208-475-5710 | |
Mrs. Carolyn G Barnhart, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-809-2869 Fax: 208-809-2868 | |
Nadezhda Kravchuk, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Kristin Marie Prescott, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3165 E Greenhurst Rd, Nampa, ID 83686 Phone: 208-463-7330 Fax: 208-463-7331 | |
Becky Bole, ANP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 824 17th Ave S Ste 5, Nampa, ID 83651 Phone: 208-918-2675 Fax: 208-918-8627 |