MRS. AUTUMN BROOKE BOYD LPN
NPI 1003917162
Licensed Practical Nurse in Du Quoin, IL

Q: What is Autumn Boyd's NPI number?

The NPI number for Autumn Boyd is 1003917162. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Autumn Boyd's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Boyd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2006

119 GAS PLANT ROAD, REA CLINIC DU QUOIN, DU QUOIN, IL 62832(618) 542-8702(618) 542-8792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Autumn Brooke Boyd Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AUTUMN BROOKE BOYD LPN (NPI 1003917162) is an individual licensed practical nurse in Du Quoin, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003917162

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. AUTUMN BROOKE BOYDCredential: LPN

Location Address119 GAS PLANT ROAD, REA CLINIC DU QUOINDu Quoin, IL 62832

Mailing AddressPo Box 155, Rea ClinicChristopher, IL 62822 · (618) 724-2401 · Fax (618) 724-2571

Phone(618) 542-8702

Fax(618) 542-8792

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003917162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

119 GAS PLANT ROAD, Du Quoin, IL 62832

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLA KAY WHITED MOA

Physician Assistant (Medical)

119 GAS PLANT ROAD, REA CLINIC DUQUOIN
DUQUOIN, IL 62832

Perry County (618) 542-8702

ASHLEY LORRAINE DELANEY LPN

Licensed Practical Nurse

119 GAS PLANT ROAD, REA CLINIC-DUQUOIN
DUQUOIN, IL 62832

Perry County (618) 542-8702

PATRICK L RILEY MD

Family Medicine

119 GAS PLANT ROAD, REA CLINIC DUQUOIN
DUQUOIN, IL 62832

Perry County (618) 542-8702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Boyd's NPI number?

The NPI number for Autumn Boyd is 1003917162. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Autumn Boyd located?

Autumn Boyd practices at 119 Gas Plant Road Rea Clinic Du Quoin, Du Quoin, IL 62832. The listed phone number is (618) 542-8702.

What is Autumn Boyd's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Autumn Boyd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.