Provider Demographics
NPI:1871263368
Name:WHITFIELD, KAYLA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 VERNON CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1383
Mailing Address - Country:US
Mailing Address - Phone:502-876-6040
Mailing Address - Fax:
Practice Address - Street 1:2401 PARMAN PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1579
Practice Address - Country:US
Practice Address - Phone:615-342-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000239443163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse