Jaime Van Kirk McCoy
Physician Assistant, Medical in Montpelier, VA. Individual provider (NPI-1).
NPI number1982201760
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1982201760
- Entity type
- Individual (NPI-1)
- Name
- Jaime Van Kirk McCoy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110007983 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
15028 Quaker Church RdMontpelier, VA 23192-2709
Phone 757-345-9212
Mailing address
233 Padgetts OrdinaryWilliamsburg, VA 23185-5578
Phone 757-345-9212
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