Provider Demographics
NPI:1396619078
Name:CARTER, KAYLA (DNP-NNP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:DNP-NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 LOWER MEIGS RD
Mailing Address - Street 2:
Mailing Address - City:MEIGS
Mailing Address - State:GA
Mailing Address - Zip Code:31765-4418
Mailing Address - Country:US
Mailing Address - Phone:229-460-9396
Mailing Address - Fax:
Practice Address - Street 1:1300 MICCOSUKEE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5054
Practice Address - Country:US
Practice Address - Phone:850-431-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GANP324415363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal