DYLAN WINSTON BOYD


Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: 6012685650

DYLAN WINSTON BOYD (NPI# 1891357588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891357588
Entity Type Individual
Full Name DYLAN WINSTON BOYD
Credential AGACNP
Practice Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6012685650
Practice Fax Number 6015795212
Mailing Telephone 6012685650
Mailing Fax Number 6015795240
Enumeration Date 2019-07-02
Last Update Date 2020-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 903404 MS Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
903404 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 01404828 05

Office Location

Street Address 415 S 28TH AVE
City HATTIESBURG
State MS
Zip Code 39401-7246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225030372 Norman Blake Moore Jr. Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2005-06-01
1457950842 Tyler Griffin Armstrong Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-10-19
1538776679 Hattiesburg Clinic, Pa Clinic/Center 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-09-23
1205446804 Robert Price Ledbetter Perfusionist 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-08-07
1972143626 Jarrod Edward Gant Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2020-01-10
1720625841 Corey Lyle Gambrell Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-12-09
1447802103 Heather Pritchett Bassi Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-07-12
1578124186 Casie Barnes Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-06-25
1992364491 Stacy Louise Neames Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2019-06-07
1568026359 William Jayson Allen Crum Perfusionist 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447893888 Spectrum The Other Clinic Nurse Practitioner 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 2019-10-17
1073630307 Brandi Renee Garris Nurse Practitioner 20 Rawls Springs Loop Rd, Hattiesburg, MS 39402-7801 2007-03-23
1881702231 Patricia Dawn Patterson Nurse Practitioner 4 Willow Pt, Suite 50, Hattiesburg, MS 39402-1150 2006-08-27
1750888129 Karen Creel Ladnier Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401 2018-04-11
1346629326 William Bradley Pickering Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2015-05-24
1669722336 Karen Emily Gatlin Nurse Practitioner 301 W Pine St, Hattiesburg, MS 39401-3829 2012-09-10
1780930677 David Mallory Plair Nurse Practitioner 3700 Hardy St Ste 10, Hattiesburg, MS 39402-1553 2012-07-28
1801164363 Robert W Lee II Nurse Practitioner 6051 U S Highway 49, Hattiesburg, MS 39401-7200 2011-12-12
1427337765 Brian Clayton Gibson Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2011-08-04
1275824088 Kimberly Rogers Shows Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2011-04-27
Find all providers in HATTIESBURG

Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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