Individual
KAYLA L BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-8000
(870) 934-3626
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216315
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216315
LICENSE
AR
Enumeration date
06/15/2021
Last updated
03/30/2026
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