MEDICARE: KAYLA WILLIAMS APRN-PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11040379	FL

General Provider Information

NPI Number	:	1215824206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA WILLIAMS APRN-PMHNP

Provider Business Mailing Address
First Line	:	5353 N US HIGHWAY 27 APT 503
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34482-4126
Country	:	US
Telephone Number	:	352-208-4533
Fax Number	:

Provider Business Practice Location Address
First Line	:	4114 SUNBEAM RD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8870
Country	:	US
Telephone Number	:	904-290-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2025
Last Update Date	:	02/14/2026

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