Healthcare Provider Details

I. General information

NPI: 1902447394
Provider Name (Legal Business Name): KAYLA CHESSER-MURRAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 TURIN TER
ST AUGUSTINE FL
32092-0848
US

IV. Provider business mailing address

82 PERGOLA PL
ORMOND BEACH FL
32174-1059
US

V. Phone/Fax

Practice location:
  • Phone: 904-819-2260
  • Fax:
Mailing address:
  • Phone: 904-536-9829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11004412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: