Seth Boyd

Individual provider Active NPI Licensed Practical Nurse · Morrison, TN

NPI 1992268668 · NPPES record last updated Apr 10, 2019

Key facts

NPI
1992268668
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
90001 (TN)
Practice address
5736 Manchester Hwy
Morrison, TN 37357-7503
Phone
(931) 815-3871
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
90001TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 90001 TN Yes

Addresses

Primary practice location

5736 Manchester Hwy
Morrison, TN 37357-7503

Mailing address

414 Wilson LN
McMinnville, TN 37110-2457

Other identifiers

IdentifierTypeStateIssuer
90001OtherTNLPN

Other providers in Morrison, TN

All providers in Morrison, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.