Provider Demographics
NPI:1770124794
Name:ENGLAND, KAYLA (PMH NP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:PMH NP
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:BYERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMH NP
Mailing Address - Street 1:319 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-1939
Mailing Address - Country:US
Mailing Address - Phone:770-296-8780
Mailing Address - Fax:
Practice Address - Street 1:523 DIXIE ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3870
Practice Address - Country:US
Practice Address - Phone:770-456-3266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA257510RN363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health