Jordan Tyler Mccoy is a student in an organized health care education training program in Omaha, NE. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan Tyler Mccoy NPI is 1306246095. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2112 S 49TH ST
OMAHA, NE
ZIP 68106-246
Phone: (402) 739-4583
The enumeration date for this NPI number is 8/29/2014 and was last updated on 8/29/2014.