Healthcare Provider Details

I. General information

NPI: 1508323312
Provider Name (Legal Business Name): KAYLIN LAURA SCOTT MSN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

PO BOX 2127
SMYRNA TN
37167-1711
US

V. Phone/Fax

Practice location:
  • Phone: 844-673-6968
  • Fax:
Mailing address:
  • Phone: 844-673-6968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11000593
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11000593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: