Provider Demographics
NPI:1902562572
Name:BOYD, JOYCE KIM (APRN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:KIM
Last Name:BOYD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:KIM
Other - Last Name:VAN NOSTRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3315 ALLENDALE PARK CT
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-6967
Mailing Address - Country:US
Mailing Address - Phone:281-536-8309
Mailing Address - Fax:
Practice Address - Street 1:710 CYPRESS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3402
Practice Address - Country:US
Practice Address - Phone:281-536-8309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1058099363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology