Mccoy, Rekita Dechelle
Mccoy, Rekita Dechelle is an individual health care provider with primary practice located at 200 Riverwind Dr Ste 104 , Pearl MS 39208-5652. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccoy, Rekita Dechelle can be contacted via phone (601) 345-4044.Contact Information
Primary practice address
200 Riverwind Dr Ste 104
Pearl MS 39208-5652
Phone: (601) 345-4044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MCCO-RFN3U1 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F01180598 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 902513 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 902513 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 902513 | Mississippi |
Profile Details
| NPI number | 1215437058 |
|---|---|
| LBN Legal business name | Mccoy, Rekita Dechelle |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2018 |
| Last updated | Sep 3rd, 2022 - about 3 years ago |
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 | 1215437058 | NPPES |
| Mississippi | MEDICAID | 1215437058 |
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