Austin Peay State University Boyd Health Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

AUSTIN PEAY STATE UNIVERSITY BOYD HEALTH SERVICES

Practice address

524 College St
Clarksville, TN 37040-3255

Phone

(931) 221-7107

Fax

(931) 221-7388

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jill Degraauw, APRN FNP-BCNPI 1508996547

Title

Assistant Director, Health Services

Phone

(931) 221-7111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Degraauw, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
  • NPI 1508996547
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1972212298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4655",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370440001",
            "telephone_number": "931-221-7107",
            "fax_number": "931-221-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403255",
            "telephone_number": "931-221-7107",
            "fax_number": "931-221-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PEAY STATE UNIVERSITY BOYD HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "DEGRAAUW",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "931-221-7111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlas and Willow PLLC
• Atlas and Willow PLLC
• Dedrea Attaway, LPN
• Meghan Catherine Augustine, M.S.W
• Taylor Michele Ausbrooks, CSW
• Austin Peay State University Diagnostic Laboratory
• Holly Austin, PA-C
• Joshua David Austin, PA-C
• Marcia Austin, CTRS
• Tania Austin

• Student Health Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Student Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.