Provider Demographics
NPI:1710519319
Name:SAVARD, KAYLA (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:SAVARD
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9447 BRADMORE LN STE 201
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8236
Mailing Address - Country:US
Mailing Address - Phone:423-661-3244
Mailing Address - Fax:
Practice Address - Street 1:9447 BRADMORE LN STE 201
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8236
Practice Address - Country:US
Practice Address - Phone:423-661-3244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27303363LF0000X
TN217823163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1710519319Medicaid