Provider Demographics
NPI:1750153359
Name:WARREN-BOYKINS, SHENEKA LYNETTE
Entity type:Individual
Prefix:
First Name:SHENEKA
Middle Name:LYNETTE
Last Name:WARREN-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 1:1457 ARMORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-2451
Mailing Address - Country:US
Mailing Address - Phone:175-758-1426
Mailing Address - Fax:
Practice Address - Street 1:1457 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-2451
Practice Address - Country:US
Practice Address - Phone:757-581-4267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical