Individual
SHANIKA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N HIGH ST, SHUBUTA, MS 39360-8870
(601) 687-1391
(601) 687-0051
Mailing address
130 N HIGH ST, SHUBUTA, MS 39360-8870
(601) 687-1391
(601) 687-0051
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R878997
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
878997
MS
Other
Enumeration date
01/25/2016
Last updated
05/03/2021
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