Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Datisia M McCoy

Individual provider Nurse's Aide · NPI 1144811027

Datisia M McCoy is a Nurse's Aide in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

4674 Stauffer Ave SE
Kentwood, MI 49508-5018
Phone: (616) 856-0556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 230009775470405 (MI)

Record details

NPI number1144811027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing addressPo Box 8331, Kentwood, MI 49518-8331

Other providers in Kentwood