Shanika Boyd Valid NPI

Individual provider · Gerontology Nurse Practitioner · Shubuta, MS

NPI

1578920328

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

R878997 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2016-01-25

Last updated

2021-05-03