Provider Demographics
NPI:1700760071
Name:CLIFTON, KAYLYN (FNP-C)
Entity type:Individual
Prefix:
First Name:KAYLYN
Middle Name:
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PORTER CARSWELL RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-5605
Mailing Address - Country:US
Mailing Address - Phone:706-871-7219
Mailing Address - Fax:
Practice Address - Street 1:204 PORTER CARSWELL RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-5605
Practice Address - Country:US
Practice Address - Phone:706-871-7219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN305894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily