Provider Demographics
NPI:1861745994
Name:MCCOY, SHERRY MARIE (PMHCNS, APRNBC)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:MARIE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:PMHCNS, APRNBC
Other - Prefix:MISS
Other - First Name:SHERRY
Other - Middle Name:MARIE
Other - Last Name:HAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 3807
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-3807
Mailing Address - Country:US
Mailing Address - Phone:970-683-7131
Mailing Address - Fax:970-243-8631
Practice Address - Street 1:515 28 3/4 RD BLDG A
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-5016
Practice Address - Country:US
Practice Address - Phone:970-241-6023
Practice Address - Fax:970-243-8631
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61211676364SP0808X
GARN096899364SP0808X
COC-APN.0100142-C-CN364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000215159Medicaid