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1326811258 NPI number — KAYLA RENEE BOGGS FNP-C

NPI Number: 1326811258
Health Care Provider/Practitioner: KAYLA RENEE BOGGS FNP-C

Information about “1326811258” NPI (KAYLA RENEE BOGGS FNP-C) exists in 1326811258 in HTML format HTML  |  1326811258 in plain Text format TXT  |  1326811258 in PDF (Portable Document Format) PDF  |  1326811258 in an XML format XML  formats.

NPI Number : 1326811258 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326811258",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOGGS",
    "FirstName": "KAYLA",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MADDOX",
    "OtherFirstName": "KAYLA",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "140 CROFT CHAPEL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TURTLETOWN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37391-4407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-241-2822",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "405 FANNIN INDUSTRIAL PARK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUE RIDGE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30513-4191",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-309-5500",
    "PracticeLocationAddressFaxNumber": "706-309-2005",
    "EnumerationDate": "11/02/2023",
    "LastUpdateDate": "11/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "GAA-NP002798",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "35115",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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