Healthcare Provider Details

I. General information

NPI: 1770492431
Provider Name (Legal Business Name): LAQUASHA BRIANA BOYD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 PEACHTREE DUNWOODY RD STE 330
SANDY SPRINGS GA
30342-5023
US

IV. Provider business mailing address

400 PHARR RD NE UNIT 591
ATLANTA GA
30305-4461
US

V. Phone/Fax

Practice location:
  • Phone: 404-459-0002
  • Fax:
Mailing address:
  • Phone: 704-891-9884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP719510
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: