Individual
DYLAN WINSTON BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5212
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
903404
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
903404
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404828
—
MS
Enumeration date
07/02/2019
Last updated
07/30/2020
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