Healthcare Provider Details

I. General information

NPI: 1144909839
Provider Name (Legal Business Name): KAYLEIGH DYCHES BISKUP FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501-3756
US

IV. Provider business mailing address

725 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501-3834
US

V. Phone/Fax

Practice location:
  • Phone: 678-207-4500
  • Fax:
Mailing address:
  • Phone: 770-533-6511
  • Fax: 770-533-4786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP278729
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN278729
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN278729
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN278729
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN278729
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: