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NPI Code Detail

MEDICARE: MS. KAYLA NEAL FNP

MEDICARE: MS. KAYLA NEAL FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAPRN-NP215391GA
2363LF0000XFamily Nurse PractitionerAPRN-NP215391GA

General Provider Information

NPI Number : 1164388732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAYLA NEAL FNP
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number : 615-465-7211
Fax Number : 615-628-6877
Provider Business Practice Location Address
First Line : 1497 FAIR RD STE 104
Second Line :
City : STATESBORO
State : GA
Zip : 30458-0822
Country : US
Telephone Number : 912-486-1600
Fax Number : 912-871-3342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 02/09/2026

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