Individual
KAYLA N SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3612
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R879734
MS
363L00000X
Nurse Practitioner
Primary
904426
MS
Other
Enumeration date
03/06/2019
Last updated
08/25/2023
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