JESSICA MCKOY NPI 1700799095

NPI Information

  • NPI: 1700799095
  • Provider Name: JESSICA MCKOY
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2721 BRAGG BLVD
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (910) 818-2480

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NPI Details

Jessica Mckoy is a peer specialist in Fayetteville, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jessica Mckoy NPI is 1700799095. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2721 BRAGG BLVD
FAYETTEVILLE, NC
ZIP 28303-145
Phone: (910) 818-2480

The enumeration date for this NPI number is 9/26/2026 and was last updated on 9/26/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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