Provider Demographics
NPI:1659115590
Name:BOYD, VERNA WILLIAMS (REGISTERED NURSE BSN)
Entity type:Individual
Prefix:MRS
First Name:VERNA
Middle Name:WILLIAMS
Last Name:BOYD
Suffix:
Gender:F
Credentials:REGISTERED NURSE BSN
Other - Prefix:
Other - First Name:VERNA
Other - Middle Name:WILLIAMS
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2302 NASH ST N STE 168
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1741
Mailing Address - Country:US
Mailing Address - Phone:252-299-8501
Mailing Address - Fax:252-291-3137
Practice Address - Street 1:2302 NASH ST N STE 168
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1741
Practice Address - Country:US
Practice Address - Phone:252-299-8501
Practice Address - Fax:252-291-3137
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC178955163W00000X, 163WA0400X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)