MRS. BETTYE BOGGS-COSTIC LPN
NPI 1194128165
Licensed Practical Nurse in Brunswick, GA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since October 03, 2014

2747 4TH ST, BRUNSWICK, GA 31520(912) 264-3961(912) 265-8837 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mrs. Bettye Boggs-costic Lpn NPPES

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

MRS. BETTYE BOGGS-COSTIC LPN (NPI 1194128165) is an individual licensed practical nurse in Brunswick, Georgia, licensed in Georgia (LPN019053) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1194128165

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. BETTYE BOGGS-COSTICCredential: LPN

Location Address2747 4TH STBrunswick, GA 31520-3714

Mailing Address2747 4th StBrunswick, GA 31520-3714 · (912) 264-3961 · Fax (912) 265-8837

Phone(912) 264-3961

Fax(912) 265-8837

Sole ProprietorNo

Enumeration DateOctober 3, 2014

✔ NPI 1194128165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in GA · LPN019053

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.

2747 4TH ST, Brunswick, GA 31520

Open in Google Maps ↗