Individual
KAYLA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
655 DAVE WARD DR STE 103, CONWAY, AR 72034-7145
(501) 209-4040
(501) 205-1776
Mailing address
655 DAVE WARD DR STE 103, CONWAY, AR 72034-7145
(501) 209-4040
(501) 205-1776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R093505
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F12170822
AANP
TX
Enumeration date
01/29/2018
Last updated
06/15/2026
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