Lisa Lynn McCoy, ARNP, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Eddyville, KY

NPI 1497989222 · NPPES record last updated Sep 12, 2016

Key facts

NPI
1497989222
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
6005P (KY)
Practice address
985 Cantrell Rd
Eddyville, KY 42038-8913
Phone
(270) 804-9707
Fax
(888) 535-9222
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6005PKYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6005P KY Yes

Addresses

Primary practice location

985 Cantrell Rd
Eddyville, KY 42038-8913

Mailing address

985 Cantrell Rd
Eddyville, KY 42038-8913
Phone (270) 804-9707

Other names

  • Lisa Lynn McCoy Former name

Other providers in Eddyville, KY

All providers in Eddyville, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.