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

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: July 19, 2026.

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
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

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.

Family Medicine
119 GAS PLANT ROAD, REA CLINIC DUQUOIN
DUQUOIN, IL 62832
Physician Assistant (Medical)
119 GAS PLANT ROAD, REA CLINIC DUQUOIN
DUQUOIN, IL 62832
Licensed Practical Nurse
119 GAS PLANT ROAD, REA CLINIC-DUQUOIN
DUQUOIN, IL 62832

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003917162, enumerated as an "individual" on September 25, 2006.

The provider is located at 119 GAS PLANT ROAD REA CLINIC DU QUOIN DU QUOIN, IL 62832 and the phone number is (618) 542-8702.

Licensed Practical Nurse with taxonomy code 164W00000X.