MEDICARE: HOLLY SAMANTHA BOYD MSN, FNP-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	363LF0000X	Family Nurse Practitioner	288046	NC
2	163W00000X	Registered Nurse	288046	NC

General Provider Information

NPI Number	:	1568322337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY SAMANTHA BOYD MSN, FNP-C

Provider Business Mailing Address
First Line	:	3762 DURHAM RD STE B
Second Line	:
City	:	ROXBORO
State	:	NC
Zip	:	27573-2741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3762 DURHAM ROAD SUITE B
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-9436
Country	:	US
Telephone Number	:	336-322-1024
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	03/20/2026

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