Healthcare Provider Details

I. General information

NPI: 1629516281
Provider Name (Legal Business Name): CLOUDIA JACQUELINE KAYWELL MSN, ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLOUDIA JACQUELINE KOWALSKI MSN, AGNP-C

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5571 SW 64TH ST
GAINESVILLE FL
32608-9608
US

IV. Provider business mailing address

5571 SW 64TH ST
GAINESVILLE FL
32608-9608
US

V. Phone/Fax

Practice location:
  • Phone: 352-337-4928
  • Fax: 352-337-4990
Mailing address:
  • Phone: 352-337-4980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberARNP934621
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP9346211
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9346211
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: