Individual
KATHLEEN RUSH BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 939-2244
Mailing address
105 CHESTNUT CT, PINE KNOLL SHORES, NC 28512-6206
(919) 520-5038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19BM3
BCBS OF NC
NC
01
—
P01487815
RAILROAD MEDICARE
NC
Enumeration date
10/21/2005
Last updated
08/19/2025
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