Mccoy, Lisa
Mccoy, Lisa is an individual health care provider with primary practice located at 3600 S National Ave , Springfield MO 65807-7311. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mccoy, Lisa can be contacted via phone (417) 322-6622.Contact Information
Primary practice address
3600 S National Ave
Springfield MO 65807-7311
Phone: (417) 322-6622
Fax: (417) 350-1935
Website:
Health care specialties
Profile Details
| NPI number | 1285183822 |
|---|---|
| LBN Legal business name | Mccoy, Lisa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2016 |
| Last updated | Dec 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285183822 | NPPES |
| Missouri | MEDICAID | 420046762 |
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