Provider Demographics
NPI:1922621713
Name:BOYKINS, PRISCILLA VANESSA
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:VANESSA
Last Name:BOYKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 16TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1822
Mailing Address - Country:US
Mailing Address - Phone:202-489-9270
Mailing Address - Fax:
Practice Address - Street 1:2908 16TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1822
Practice Address - Country:US
Practice Address - Phone:202-489-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant