Jordan Brooke McCoy, FNP-C
Nurse Practitioner, Family in Blacksburg, VA. Individual provider (NPI-1).
NPI number1194457465
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1194457465
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jordan Brooke McCoy
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2022
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024184547 | VA | Yes |
Practice location
215 Gilbert StBlacksburg, VA 24060-3305
Phone 540-981-7000
Mailing address
213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone 540-224-5353
Other practice locations
810 Hospital Dr
Blacksburg, VA 24060-7023
Blacksburg, VA 24060-7023
Phone 540-951-3311
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