Individual
MARIAN BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
Mailing address
60007 C AND C LN, SMITHVILLE, MS 38870-9105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902884
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
TAXONOMY
MS
Enumeration date
11/08/2018
Last updated
11/08/2018
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