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

Jesse L McCoy

Individual provider Licensed Practical Nurse · NPI 1174239677

Jesse L McCoy is a Licensed Practical Nurse in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023

Practice location Address checks out

495 Dunlop Ln Ste 106
Clarksville, TN 37040-5296
Phone: (931) 272-2431
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 68923 (TN)

Record details

NPI number1174239677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address495 Dunlop Ln Ste 106, Clarksville, TN 37040-5296

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