Provider Demographics
NPI:1609396324
Name:GARNETT, KAYLIN (CRNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAYLIN
Middle Name:
Last Name:GARNETT
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 E GLENN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5729
Mailing Address - Country:US
Mailing Address - Phone:334-539-8049
Mailing Address - Fax:334-521-7454
Practice Address - Street 1:1935 E GLENN AVE STE 101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5729
Practice Address - Country:US
Practice Address - Phone:334-539-8049
Practice Address - Fax:334-521-7454
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-132575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily