NPI 1487992913 · live from the CMS NPI Registry
Jennifer Elizabeth Boyd, CNP
Nurse Practitioner, Pediatrics in Shakopee, MN. National Provider Identifier 1487992913, active.
NPI record
| NPI | 1487992913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-Shakopee, Shakopee, MN 55379 |
| Practice phone | 952-993-7781 |
| Enumerated | January 17, 2013 |
| Last updated | November 11, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 20121792 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.