Individual provider · Type 1 NPI

Cody Lance McCoy, AGACNP

Acute Care Nurse Practitioner · Longview, TX

NPI number 1710625975 Active

Practice location

707 Hollybrook Dr Ste 200
Longview, TX 75605-2410

Call (903) 291-6191 Map

Mailing address

340 Cross Creek Rd
Longview, TX 75602-7604

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1079757 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1710625975

Cody Lance McCoy, AGACNP's National Provider Identifier is 1710625975, issued on May 26, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Longview, TX. The record was last updated on May 26, 2022.