Individual provider · Type 1 NPI

Samantha Charletta McCoy, LPN

Licensed Practical Nurse · St. Louis, MO

NPI number 1053943522 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Call (314) 367-5820 Map

Fax (314) 367-7010

Specialties and licenses

TaxonomyCodeLicense
Doula 374J00000XNone listed
Licensed Practical Nurse Primary 164W00000X2006011721 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1053943522

Samantha Charletta McCoy, LPN's National Provider Identifier is 1053943522, issued on Feb 12, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 26, 2025.