Provider Demographics
NPI:1083249890
Name:WILLIAMS, KAYLA NANICE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:NANICE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 FLATTS TRCE SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-1104
Mailing Address - Country:US
Mailing Address - Phone:205-212-4509
Mailing Address - Fax:
Practice Address - Street 1:116 2ND ST SE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-3506
Practice Address - Country:US
Practice Address - Phone:256-595-3892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-129004363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner