Provider Demographics
NPI:1013621929
Name:GABLE, KAYLA STAPP (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:STAPP
Last Name:GABLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 HAMBRICK DR
Mailing Address - Street 2:
Mailing Address - City:HORTON
Mailing Address - State:AL
Mailing Address - Zip Code:35980-8536
Mailing Address - Country:US
Mailing Address - Phone:256-738-7191
Mailing Address - Fax:
Practice Address - Street 1:133 WALL ST
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35951-9300
Practice Address - Country:US
Practice Address - Phone:256-830-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-126945363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily