Provider Demographics
NPI:1417339557
Name:DUBOIS, KAYLA (CRNP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:DUBOIS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:TWILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:426 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:AL
Mailing Address - Zip Code:35550
Mailing Address - Country:US
Mailing Address - Phone:205-435-2500
Mailing Address - Fax:
Practice Address - Street 1:426 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:AL
Practice Address - Zip Code:35550-6000
Practice Address - Country:US
Practice Address - Phone:205-435-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-127712363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily