Healthcare Provider Details

I. General information

NPI: 1407403918
Provider Name (Legal Business Name): HEATHER GAY BOYD NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 11/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W PARKER RD
PLANO TX
75093-8185
US

IV. Provider business mailing address

1600 COUNTY ROAD 128
CELINA TX
75009-2992
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-8000
  • Fax:
Mailing address:
  • Phone: 214-502-9166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number840021
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP144163
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: