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NPI Code Detail

MEDICARE: MRS. ANGELA DAWN BOYD NP-C

MEDICARE: MRS. ANGELA DAWN BOYD NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR865626MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134510100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DAWN BOYD NP-C
Provider Business Mailing Address
First Line : 778 LIBERTY RD
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9300
Country : US
Telephone Number : 706-863-9595
Fax Number : 706-868-8375
Provider Business Practice Location Address
First Line : 778 LIBERTY RD
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9300
Country : US
Telephone Number : 706-863-9595
Fax Number : 706-868-8375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2015
Last Update Date : 05/01/2026

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