Barbara A. Boyd, P233404
Individual provider Active NPI Licensed Practical Nurse · Laurel, MS
NPI 1720293145 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1720293145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P233404 (MS)
- Practice address
- 901 S 14TH Ave
Laurel, MS 39440-4920 - Phone
- (601) 422-0655
- Fax
- (601) 422-0655
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P233404 | MS | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P233404 | MS | Yes |
Addresses
Primary practice location
901 S 14TH Ave
Laurel, MS 39440-4920
Mailing address
901 S 14TH Ave
Laurel, MS 39440-4920
Phone (601) 422-0655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770245 | Medicaid | MS |
Other providers in Laurel, MS
- Dacia S Booth
- Cindy Boswell
- Bounds Family Dental
- Ali Bounds
- James A Bounds
- Marsha Diane Boyd
- Jeanine Boykin
- Brad Holifield, D.M.D., P.a.
- Jessica Rose Braddock
- Sheila Diane Bradford
All providers in Laurel, MS · Licensed Practical Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.