Provider Demographics
NPI:1013227503
Name:BOYKIN, TAMMY LORRAINE (GNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LORRAINE
Last Name:BOYKIN
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:EVANS
Other - Last Name:BOYKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GNP-BC
Mailing Address - Street 1:400 S VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 S VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531
Practice Address - Country:US
Practice Address - Phone:228-523-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN122201163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology