Healthcare Provider Details

I. General information

NPI: 1093649998
Provider Name (Legal Business Name): KAYLAH JANE GOLDEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

302 EUGENE ST
SAVANNAH GA
31406-4922
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-8000
  • Fax:
Mailing address:
  • Phone: 912-341-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberAPRN-NP278881
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: