Provider Demographics
NPI:1568220770
Name:BOYD, CHRISTIAN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIAN
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 EAGLE CREST DR SW
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-2679
Mailing Address - Country:US
Mailing Address - Phone:910-393-9691
Mailing Address - Fax:
Practice Address - Street 1:82 WHITES CROSSING PLZ
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4442
Practice Address - Country:US
Practice Address - Phone:910-721-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019765363LF0000X
NC268794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse