IndividualActive
Ajamu Mccoy, MA
NPI 1164100830 · Nurse's Aide · Newport, OR
Provider details
- NPI number
- 1164100830
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
36 Sw Nye St
Newport, OR 97365-3821
Registry dates
- Enumerated
- 2023-07-11
- Last updated
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.