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NPI Code Detail

MEDICARE: RACHAEL BOYD APRN

MEDICARE:   RACHAEL  BOYD  APRN
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 Practitioner11014321FL

General Provider Information

NPI Number : 1407520018
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL BOYD APRN
Provider Business Mailing Address
First Line : 2428 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4304
Country : US
Telephone Number : 850-381-1281
Fax Number :
Provider Business Practice Location Address
First Line : 2428 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4304
Country : US
Telephone Number : 850-640-0663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2021
Last Update Date : 12/10/2025

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