Provider Demographics
NPI:1023083912
Name:MCCOY, JULIE D (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:D
Last Name:MCCOY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2544
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2544
Mailing Address - Country:US
Mailing Address - Phone:706-483-1634
Mailing Address - Fax:
Practice Address - Street 1:101 SIVLEY RD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4470
Practice Address - Country:US
Practice Address - Phone:256-265-1000
Practice Address - Fax:256-265-2186
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130167367500000X
TNRN125954367500000X
GARN123552367500000X
TNAPN11396367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4070630OtherBCBS
TN3608164Medicaid
TN3608164Medicaid