Provider Demographics
NPI:1336606060
Name:BOYD-GANT, EUNICE CARREEN (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:CARREEN
Last Name:BOYD-GANT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:EUNICE
Other - Middle Name:CARREEN
Other - Last Name:BOYD-MASSAQUOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1340 MIDDLEFORD ROAD
Mailing Address - Street 2:STE 401
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3665
Mailing Address - Country:US
Mailing Address - Phone:800-818-8680
Mailing Address - Fax:866-229-0237
Practice Address - Street 1:642 S QUEEN ST STE 102
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3506
Practice Address - Country:US
Practice Address - Phone:302-487-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001240-NP363LP2300X
DELG-0001240363LF0000X
DEL8-0016090-PMHNP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health