MEDICARE: DR. KAREN LYNETTE BOYD DNP, 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
1	363LA2200X	Adult Health Nurse Practitioner	4704203961	MI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704203961	MI
3	364SM0705X	Medical-Surgical Clinical Nurse Specialist	4704203961	MI

General Provider Information

NPI Number	:	1386642791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LYNETTE BOYD DNP, NP-C

Provider Business Mailing Address
First Line	:	19785 WEST 12 MILE RD, #354
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2584
Country	:	US
Telephone Number	:	844-244-8310
Fax Number	:	248-415-5527

Provider Business Practice Location Address
First Line	:	19785 W 12 MILE RD # 354
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2584
Country	:	US
Telephone Number	:	844-244-8310
Fax Number	:	248-415-5527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	02/07/2026

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