| Doctor Name: | ILENE BOYKIN |
| NPI Number: | 1700289667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R898358 |
| Business Practice Address: | 4770 Amoco Dr Moss Point, MS - 395639627 |
| Business Phone Number: | 2284749511 |
| Business Fax Number: | |
| Mailing Address: | 1046 Division St, BILOXI |
| State: | MS |
| Postal Code: | 395302935 |
| Phone Number: | 2283742494 |
| Fax Number: | 2283742713 |
| NPI Enumeration Date: | 10/06/2014 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R898358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |